Individual
DR. JON ROBERT ALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D,C.
Contact information
Practice address
4222 HOBSON CT, FORT WAYNE, IN 46815-8648
(260) 485-3146
(260) 486-5278
Mailing address
4222 HOBSON CT, FORT WAYNE, IN 46815-8648
(260) 485-3146
(260) 486-5278
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08000142A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100081870B
—
IN
01
—
1760527709
GROUP NUMBER
IN
Enumeration date
08/08/2007
Last updated
11/21/2007
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