Provider Demographics
NPI:1346856838
Name:PLENDL, ALEXANDER ALAN (DC)
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:ALAN
Last Name:PLENDL
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 1:4909 S 135TH ST STE 104
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68137-1657
Mailing Address - Country:US
Mailing Address - Phone:402-763-9955
Mailing Address - Fax:
Practice Address - Street 1:6101 WHISPERING CREEK DR STE B
Practice Address - Street 2:
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51106-7211
Practice Address - Country:US
Practice Address - Phone:712-870-8667
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-20
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2043111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor