MEDICARE: ALEXANDER CHIROPRACTIC CENTER INC.

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

General Provider Information

NPI Number	:	1417099458
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALEXANDER CHIROPRACTIC CENTER INC.

Provider Business Mailing Address
First Line	:	4475 FIRST ST
Second Line	:
City	:	LIVERMORE
State	:	CA
Zip	:	94551-4915
Country	:	US
Telephone Number	:	925-449-3356
Fax Number	:	925-449-5229

Provider Business Practice Location Address
First Line	:	4475 FIRST ST
Second Line	:
City	:	LIVERMORE
State	:	CA
Zip	:	94551-4915
Country	:	US
Telephone Number	:	925-449-3356
Fax Number	:	925-449-5229

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. KURT MILO ALEXANDER
Credential	:	DC
Telephone Number	:	925-449-3356

Provider Enumeration Date	:	02/13/2007
Last Update Date	:	08/14/2012

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