Provider Demographics
NPI:1538120423
Name:BECK, ALAN H (DC)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:H
Last Name:BECK
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:PO BOX 755
Mailing Address - Street 2:
Mailing Address - City:DUNCANSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16635-0755
Mailing Address - Country:US
Mailing Address - Phone:814-696-9654
Mailing Address - Fax:814-693-1163
Practice Address - Street 1:127 CARSON VALLEY RD
Practice Address - Street 2:
Practice Address - City:DUNCANSVILLE
Practice Address - State:PA
Practice Address - Zip Code:16635-8055
Practice Address - Country:US
Practice Address - Phone:814-696-9654
Practice Address - Fax:814-693-1163
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-30
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC003737L111N00000X
PAAJ003737L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1827074OtherBCBS
PA171502Medicare PIN
PA1827074OtherBCBS