Provider Demographics
NPI:1124908785
Name:ALTERNATIVE NEUROPHYSIOLOGY D/B/A ALTMED, LLC
Entity type:Organization
Organization Name:ALTERNATIVE NEUROPHYSIOLOGY D/B/A ALTMED, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:F
Authorized Official - Last Name:MCCRACKEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, APRN-C(NT), MBA
Authorized Official - Phone:850-860-5566
Mailing Address - Street 1:2099 N MOUNT JULIET RD UNIT 112
Mailing Address - Street 2:
Mailing Address - City:MT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122-3405
Mailing Address - Country:US
Mailing Address - Phone:850-860-5566
Mailing Address - Fax:
Practice Address - Street 1:2099 N MOUNT JULIET RD UNIT 112
Practice Address - Street 2:
Practice Address - City:MT JULIET
Practice Address - State:TN
Practice Address - Zip Code:37122-3405
Practice Address - Country:US
Practice Address - Phone:850-860-5566
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-04
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LC0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care MedicineGroup - Single Specialty