Provider Demographics
NPI:1427041326
Name:STANGL, ALAN JOHN (DC)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:JOHN
Last Name:STANGL
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 1:933 N 4TH ST
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18102-1852
Mailing Address - Country:US
Mailing Address - Phone:610-434-7562
Mailing Address - Fax:484-221-9171
Practice Address - Street 1:933 N 4TH ST
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18102-1852
Practice Address - Country:US
Practice Address - Phone:610-434-7562
Practice Address - Fax:484-221-9171
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-25
Last Update Date:2012-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC003419L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
488772Medicare UPIN