Provider Demographics
NPI:1033267737
Name:SILVERBERG, ALAN ANDREW (DC)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:ANDREW
Last Name:SILVERBERG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:ALAN
Other - Middle Name:
Other - Last Name:SILVER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:83 COTTAGE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-1303
Mailing Address - Country:US
Mailing Address - Phone:530-893-8820
Mailing Address - Fax:530-896-0701
Practice Address - Street 1:550 SALEM ST
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-5575
Practice Address - Country:US
Practice Address - Phone:530-896-0701
Practice Address - Fax:530-896-0701
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16063111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0160630Medicare ID - Type Unspecified
CAT06003Medicare UPIN