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NPI Code Detail

MEDICARE: MAKALA ALDERMAN

MEDICARE: MAKALA ALDERMAN
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
1171M00000XCase Manager/Care CoordinatorOH

General Provider Information

NPI Number : 1487596789
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAKALA ALDERMAN
Provider Business Mailing Address
First Line : 11470 COUNTY ROAD 1
Second Line :
City : CHESAPEAKE
State : OH
Zip : 45619-7010
Country : US
Telephone Number : 740-451-0074
Fax Number : 740-451-0140
Provider Business Practice Location Address
First Line : 11470 COUNTY ROAD 1
Second Line :
City : CHESAPEAKE
State : OH
Zip : 45619-7010
Country : US
Telephone Number : 740-451-0074
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2026
Last Update Date : 04/07/2026

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Directions to “ MAKALA ALDERMAN ” Practice Location

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