Provider Demographics
NPI:1982826301
Name:ALMEDA LLC
Entity Type:Organization
Organization Name:ALMEDA LLC
Other - Org Name:DAROLD PHILLIP LETO JR.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAROLD
Authorized Official - Middle Name:PHILLIP
Authorized Official - Last Name:LETO
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:912-691-5050
Mailing Address - Street 1:115 OGLETHORPE CT STE 1
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-3624
Mailing Address - Country:US
Mailing Address - Phone:912-691-5050
Mailing Address - Fax:912-691-5050
Practice Address - Street 1:115 OGLETHORPE CT STE 1
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-3624
Practice Address - Country:US
Practice Address - Phone:912-691-5050
Practice Address - Fax:912-691-5050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2008-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA10558111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA35ZCJKQMedicare PIN
GAGRP7418Medicare PIN
GAV07156Medicare UPIN