Provider Demographics
NPI:1861245011
Name:VAN ALSTINE, DAVID
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:VAN ALSTINE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 473
Mailing Address - Street 2:
Mailing Address - City:CHEBOYGAN
Mailing Address - State:MI
Mailing Address - Zip Code:49721-0473
Mailing Address - Country:US
Mailing Address - Phone:231-268-1215
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 473
Practice Address - Street 2:
Practice Address - City:CHEBOYGAN
Practice Address - State:MI
Practice Address - Zip Code:49721-0473
Practice Address - Country:US
Practice Address - Phone:231-268-1215
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health