Provider Demographics
NPI:1710901319
Name:ALAWAN, DEEB HAIDER (DC)
Entity Type:Individual
Prefix:
First Name:DEEB
Middle Name:HAIDER
Last Name:ALAWAN
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 1:14399 PEARL RD
Mailing Address - Street 2:
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44136-8713
Mailing Address - Country:US
Mailing Address - Phone:440-846-1200
Mailing Address - Fax:440-846-1775
Practice Address - Street 1:14399 PEARL RD
Practice Address - Street 2:
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44136-8713
Practice Address - Country:US
Practice Address - Phone:440-846-1200
Practice Address - Fax:440-846-1775
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2009-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2711111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9363961OtherMEDICARE