Provider Demographics
NPI:1710156336
Name:DUBIN, ALAN H (DC)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:H
Last Name:DUBIN
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 1:29-15 FAIR LAWN AVE
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-3412
Mailing Address - Country:US
Mailing Address - Phone:201-794-6260
Mailing Address - Fax:201-794-1985
Practice Address - Street 1:29-15 FAIR LAWN AVE
Practice Address - Street 2:
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-3412
Practice Address - Country:US
Practice Address - Phone:201-794-6260
Practice Address - Fax:201-794-1985
Is Sole Proprietor?:No
Enumeration Date:2008-02-27
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ2423111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ519579Medicare PIN