Provider Demographics
NPI:1306011028
Name:XU, ALAN N (DC)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:N
Last Name:XU
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 1:4313 S LAWRENCE ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98409-5521
Mailing Address - Country:US
Mailing Address - Phone:626-283-1164
Mailing Address - Fax:
Practice Address - Street 1:4313 S LAWRENCE ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98409-5521
Practice Address - Country:US
Practice Address - Phone:626-283-1164
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-23
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60002296111N00000X
CADC30752111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor