Provider Demographics
NPI:1629490396
Name:RADMAN, ALLAN (DC)
Entity Type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:
Last Name:RADMAN
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 1868
Mailing Address - Street 2:
Mailing Address - City:APTOS
Mailing Address - State:CA
Mailing Address - Zip Code:95001-1868
Mailing Address - Country:US
Mailing Address - Phone:831-227-1544
Mailing Address - Fax:
Practice Address - Street 1:441 MONTEREY DR
Practice Address - Street 2:
Practice Address - City:APTOS
Practice Address - State:CA
Practice Address - Zip Code:95003-4809
Practice Address - Country:US
Practice Address - Phone:831-227-1544
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-14
Last Update Date:2014-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010791111N00000X
CADC32801111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor