MEDICARE: DR. ALBERT R KALTER D.C.

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	111N00000X	Chiropractor	CH 825	MA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	39413	OTHER		MEDICARE LEGACY BC
6	35673	OTHER		MEDICARE LEGACY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	603479	OTHER	MA	TUFTS
4	0005919	OTHER	MA	P-TAN
5	351914	OTHER	MA	HPHC

General Provider Information

NPI Number	:	1164425476
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALBERT R KALTER D.C.

Provider Business Mailing Address
First Line	:	400 WASHINGTON ST
Second Line	:	STE 102
City	:	BRAINTREE
State	:	MA
Zip	:	02184-4764
Country	:	US
Telephone Number	:	781-848-8734
Fax Number	:	781-848-9941

Provider Business Practice Location Address
First Line	:	400 WASHINGTON ST
Second Line	:	STE 102
City	:	BRAINTREE
State	:	MA
Zip	:	02184-4764
Country	:	US
Telephone Number	:	781-848-8734
Fax Number	:	781-848-9941

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	05/05/2015

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Directions to “ DR. ALBERT R KALTER D.C.” Practice Location

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