Provider Demographics
NPI:1417075730
Name:BECKERMAN, ALAN NEIL (DC)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:NEIL
Last Name:BECKERMAN
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 1:4405 NORTHSIDE PKWY NW
Mailing Address - Street 2:SUITE 2103 A
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30327-5202
Mailing Address - Country:US
Mailing Address - Phone:404-869-7678
Mailing Address - Fax:404-869-7658
Practice Address - Street 1:4405 NORTHSIDE PKWY NW
Practice Address - Street 2:SUITE 2103 A
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30327-5202
Practice Address - Country:US
Practice Address - Phone:404-869-7678
Practice Address - Fax:404-869-7658
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2011-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR002011111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor