Provider Demographics
NPI:1770652711
Name:SPINNER, ALAN E (DC PA)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:E
Last Name:SPINNER
Suffix:
Gender:M
Credentials:DC PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2718 LEE BLVD
Mailing Address - Street 2:STE C
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33971
Mailing Address - Country:US
Mailing Address - Phone:239-325-1310
Mailing Address - Fax:
Practice Address - Street 1:2718 LEE BOULEVARD
Practice Address - Street 2:SUITE C
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33971
Practice Address - Country:US
Practice Address - Phone:239-325-1310
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH4515111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL70180Medicare ID - Type Unspecified