MEDICARE: COMPRE CARE MEDICAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332900000X	Non-Pharmacy Dispensing Site

General Provider Information

NPI Number	:	1073881256
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPRE CARE MEDICAL

Provider Business Mailing Address
First Line	:	2980 N BEVERLY GLEN CIR
Second Line	:	SUITE 301
City	:	LOS ANGELES
State	:	CA
Zip	:	90077-1726
Country	:	US
Telephone Number	:	310-474-9809
Fax Number	:

Provider Business Practice Location Address
First Line	:	3440 DE PAUL LN
Second Line	:	SUITE 110
City	:	BRIDGETON
State	:	MO
Zip	:	63044-3545
Country	:	US
Telephone Number	:	314-739-3990
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. PAUL ALTSHELER JR.
Credential	:	M.D.
Telephone Number	:	314-739-3990

Provider Enumeration Date	:	12/02/2011
Last Update Date	:	01/05/2012

Similar Medicare Providers

1235394396 — COMPRECARE MEDICAL, LLC
Practice Location Address:

3440 DE PAUL LN , SUITE 110
BRIDGETON, MO
63044-3545

Practice Phone: 314-739-3990
Practice Fax: 314-739-3924

1609197334 — VNA-TIP HOMECARE
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1073999520 — STEVEN BAAK, MD LLC
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1689220972 — MOLLY REENTS
Practice Location Address:

12380 DE PAUL DR
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63044-2511

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1851068753 — LAURA MARIE KASTRABA PMHNP-BC
Practice Location Address:

12303 DE PAUL DR
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1598436289 — ASHLEY KOOIMA BCBA
Practice Location Address:

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Directions to “COMPRE CARE MEDICAL ” Practice Location

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