Provider Demographics
NPI:1770646564
Name:BROWN, ALLAN HAL (DC)
Entity Type:Individual
Prefix:MR
First Name:ALLAN
Middle Name:HAL
Last Name:BROWN
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 924
Mailing Address - Street 2:
Mailing Address - City:SEVERNA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:21146
Mailing Address - Country:US
Mailing Address - Phone:410-544-2025
Mailing Address - Fax:410-544-2053
Practice Address - Street 1:670 RITCHIE HWY
Practice Address - Street 2:
Practice Address - City:SEVERNA PARK
Practice Address - State:MD
Practice Address - Zip Code:21146
Practice Address - Country:US
Practice Address - Phone:410-544-2025
Practice Address - Fax:410-544-2053
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2008-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1141111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDT4550001OtherBCBS
TX1770646564Medicare UPIN
TX1770646564Medicare PIN
MDT4550001OtherBCBS
TX1770646564Medicare Oscar/Certification
MD1770646564Medicare PIN
MD1770646564Medicare UPIN