Provider Demographics
NPI:1063503472
Name:ALANO, MARK V (DC)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:V
Last Name:ALANO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:576 METACOM AVE
Mailing Address - Street 2:UNIT 8
Mailing Address - City:BRISTOL
Mailing Address - State:RI
Mailing Address - Zip Code:02809-5100
Mailing Address - Country:US
Mailing Address - Phone:401-253-1130
Mailing Address - Fax:401-253-8320
Practice Address - Street 1:576 METACOM AVE
Practice Address - Street 2:UNIT 8
Practice Address - City:BRISTOL
Practice Address - State:RI
Practice Address - Zip Code:02809-5100
Practice Address - Country:US
Practice Address - Phone:401-253-1130
Practice Address - Fax:401-253-8320
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2011-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDC00324111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI204330OtherBLUE CHIP
RI3113-4OtherBLUE CROSS & BLUE SHIELD
RI3113-4OtherBLUE CROSS & BLUE SHIELD
RI359003113Medicare ID - Type Unspecified