1831799360 NPI number — ALTERNATIVE INTERVENTIONS, INC.

Table of content: JOANNA RAE MARCH CADC (NPI 1851565790)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831799360 NPI number — ALTERNATIVE INTERVENTIONS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALTERNATIVE INTERVENTIONS, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1831799360
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/26/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1512 SUNDOWNER DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAINT CHARLES
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
63303-5044
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
314-910-0078
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
500 NW PLAZA DR STE 500
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAINT ANN
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
63074-2220
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
314-910-0078
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/26/2020

Additional Information

Authorized Official

Authorized Official Last Name:
BASS
Authorized Official First Name:
ANTHONY
Authorized Official Middle Name:
DONALD
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
314-910-0078

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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