Provider Demographics
NPI:1013486414
Name:ALTCARE COMMUNITY NATURAL HEALTH & ACUPUNCTURE
Entity Type:Organization
Organization Name:ALTCARE COMMUNITY NATURAL HEALTH & ACUPUNCTURE
Other - Org Name:DR. JAMES C. KAPETANAKOS
Other - Org Type:Other Name
Authorized Official - Title/Position:ACUPUNCTURIST AND OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:KAPETANAKOS
Authorized Official - Suffix:
Authorized Official - Credentials:DOM LAC
Authorized Official - Phone:864-346-5683
Mailing Address - Street 1:2005 E GREENVILLE ST STE 107
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-1575
Mailing Address - Country:US
Mailing Address - Phone:864-378-4747
Mailing Address - Fax:864-507-2253
Practice Address - Street 1:2005 E GREENVILLE ST STE 107
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-1575
Practice Address - Country:US
Practice Address - Phone:864-378-4747
Practice Address - Fax:864-507-2253
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-15
Last Update Date:2020-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty