MEDICARE: ALTERNATIVE HEALTH CARE CENTER

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	DC0149870	CA

General Provider Information

NPI Number	:	1902099021
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALTERNATIVE HEALTH CARE CENTER

Provider Business Mailing Address
First Line	:	PO BOX 1365
Second Line	:
City	:	APTOS
State	:	CA
Zip	:	95001-1365
Country	:	US
Telephone Number	:	831-688-5156
Fax Number	:	831-661-0228

Provider Business Practice Location Address
First Line	:	7575 SOQUEL DR
Second Line	:
City	:	APTOS
State	:	CA
Zip	:	95003-3815
Country	:	US
Telephone Number	:	831-688-5156
Fax Number	:	831-661-0228

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. FRANCES MAXWELL HOMER
Credential	:	D.C.
Telephone Number	:	831-688-5156

Provider Enumeration Date	:	08/22/2007
Last Update Date	:	08/22/2007

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