Provider Demographics
NPI:1619116969
Name:DR. ALAN L. PALGUT, CHIROPRACTOR, INC.
Entity Type:Organization
Organization Name:DR. ALAN L. PALGUT, CHIROPRACTOR, INC.
Other - Org Name:ALAN L. PALGUT, D.C., INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRES.
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:PALGUT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:440-944-4300
Mailing Address - Street 1:34820 CHARDON RD
Mailing Address - Street 2:
Mailing Address - City:WILLOUGHBY HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44094-9103
Mailing Address - Country:US
Mailing Address - Phone:440-944-4300
Mailing Address - Fax:440-944-4302
Practice Address - Street 1:34820 CHARDON RD
Practice Address - Street 2:
Practice Address - City:WILLOUGHBY HILLS
Practice Address - State:OH
Practice Address - Zip Code:44094-9103
Practice Address - Country:US
Practice Address - Phone:440-944-4300
Practice Address - Fax:440-944-4302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-10
Last Update Date:2009-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH677111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty