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ADVANCED ALTERNATIVE HEALTHCARE LLC NPI 1457402752


NPI Information

NPI: 1457402752
Provider Name: ADVANCED ALTERNATIVE HEALTHCARE, LLC
Classification: Neuromusculoskeletal Medicine & OMM - 204D00000X
Entity Type: Organization
Address:
3829 S JEFFERSON AVE
SPRINGFIELD, MO
ZIP 65807
Phone: (417) 890-5585
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ADVANCED ALTERNATIVE HEALTHCARE, LLC is a neuromusculoskeletal medicine omm in Springfield, MO. The provider is the Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. ADVANCED ALTERNATIVE HEALTHCARE, LLC NPI is 1457402752. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3829 S JEFFERSON AVE
SPRINGFIELD, MO
ZIP 65807-376
Phone: (417) 890-5585
Fax: (417) 877-0970

The provider's authorized official is Edward R Douglas .
The authorized official title is Owner and has the following contact phone number (417) 890-5585.

The enumeration date for this NPI number is 1/15/2007 and was last updated on 4/23/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1204D00000XNeuromusculoskeletal Medicine & OMM2002013903MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000014661MEDICARE ID-TYPE UNSPECIFIED
2I09016MEDICARE UPIN
3500940903MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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