Provider Demographics
NPI:1861546426
Name:LUDWIG, ALAN STEVEN (DC)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:STEVEN
Last Name:LUDWIG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1408 LAKE TAPPS PKWY E
Mailing Address - Street 2:SUITE E-105
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98092-8158
Mailing Address - Country:US
Mailing Address - Phone:253-735-0123
Mailing Address - Fax:253-735-0759
Practice Address - Street 1:1408 LAKE TAPPS PKWY E
Practice Address - Street 2:SUITE E-105
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98092-8158
Practice Address - Country:US
Practice Address - Phone:253-735-0123
Practice Address - Fax:253-735-0759
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00001452111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA56527OtherLABOR & INDUSTRIES