Provider Demographics
NPI:1083897300
Name:LA PLATA FAMILY CHIROPRACTIC
Entity Type:Organization
Organization Name:LA PLATA FAMILY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:ALFANO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:301-932-2100
Mailing Address - Street 1:PO BOX 2741
Mailing Address - Street 2:203 CENTENNIAL ST
Mailing Address - City:LA PLATA
Mailing Address - State:MD
Mailing Address - Zip Code:20646-2741
Mailing Address - Country:US
Mailing Address - Phone:301-932-2100
Mailing Address - Fax:301-392-9338
Practice Address - Street 1:203 CENTENNIAL ST
Practice Address - Street 2:
Practice Address - City:LA PLATA
Practice Address - State:MD
Practice Address - Zip Code:20646-2741
Practice Address - Country:US
Practice Address - Phone:301-932-2100
Practice Address - Fax:301-392-9338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-10
Last Update Date:2007-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDSO1429111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty