Provider Demographics
NPI:1437347705
Name:FALL PREVENTION INCORPORATED
Entity Type:Organization
Organization Name:FALL PREVENTION INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:C
Authorized Official - Last Name:HOVERSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:239-352-2267
Mailing Address - Street 1:15275 COLLIER BLVD
Mailing Address - Street 2:#201 SUITE 261
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34119-6750
Mailing Address - Country:US
Mailing Address - Phone:239-352-2267
Mailing Address - Fax:239-234-6920
Practice Address - Street 1:819 GROVE DR
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34120-1422
Practice Address - Country:US
Practice Address - Phone:239-352-2267
Practice Address - Fax:239-234-6920
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-11
Last Update Date:2008-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAJ841Medicare PIN