Alter, Albert Jerviss

Alter, Albert Jerviss is an sole proprietor health care provider with primary practice located at 6701 Seybold Rd Ste 204, Madison WI 53719-1362. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Alter, Albert Jerviss can be contacted via phone (608) 271-7015.

Contact Information

Primary practice address
6701 Seybold Rd Ste 204 Madison WI 53719-1362
Phone: (608) 271-7015
Fax: (608) 271-7015
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 19772-020 Wisconsin
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X 19772-020 Wisconsin
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 19772 Wisconsin
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X 19772-020 Wisconsin
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 19772-020 Wisconsin

Profile Details

NPI number 1386604346
LBN Legal business name Alter, Albert Jerviss
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 24th, 2006
Last updated Jan 8th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386604346 NPPES
Wisconsin MEDICAID 31053200

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