Provider Demographics
NPI:1801832316
Name:PAPENHEIM, ALAN RICHARD (DC)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:RICHARD
Last Name:PAPENHEIM
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:P.O. BOX 5883
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34611
Mailing Address - Country:US
Mailing Address - Phone:352-683-3993
Mailing Address - Fax:352-683-3994
Practice Address - Street 1:7048 MARINER BLVD
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34609-1000
Practice Address - Country:US
Practice Address - Phone:352-683-3993
Practice Address - Fax:352-683-3994
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-22
Last Update Date:2020-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7878111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL70802OtherBC PROVIDER #
FLE6563Medicare ID - Type UnspecifiedPROVIDER # MDCR
FLU87943Medicare UPIN