Provider Demographics
NPI:1588626543
Name:CAPPELLINI, ALAN J (DC)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:J
Last Name:CAPPELLINI
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 1066
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-1066
Mailing Address - Country:US
Mailing Address - Phone:724-366-3579
Mailing Address - Fax:844-593-1419
Practice Address - Street 1:1025 WALNUT HILL RD
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-5071
Practice Address - Country:US
Practice Address - Phone:724-366-3579
Practice Address - Fax:844-593-1419
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-05
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC002998L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA500396Medicare ID - Type UnspecifiedMEDICARE
PAU59209Medicare UPIN