Provider Demographics
NPI:1356538466
Name:ALAN L HOROWITZ DC PA
Entity type:Organization
Organization Name:ALAN L HOROWITZ DC PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:LEONARD
Authorized Official - Last Name:HOROWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:386-427-0148
Mailing Address - Street 1:1614 UMBRELLA TREE DR
Mailing Address - Street 2:
Mailing Address - City:EDGEWATER
Mailing Address - State:FL
Mailing Address - Zip Code:32132-3109
Mailing Address - Country:US
Mailing Address - Phone:386-427-0148
Mailing Address - Fax:
Practice Address - Street 1:612 N RIDGEWOOD AVE
Practice Address - Street 2:SUITE I
Practice Address - City:EDGEWATER
Practice Address - State:FL
Practice Address - Zip Code:32132-1658
Practice Address - Country:US
Practice Address - Phone:386-423-4444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-02
Last Update Date:2008-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0002812111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1003957465OtherTYPE 1 NPI
FL1003957465OtherTYPE 1 NPI