Provider Demographics
NPI:1821040189
Name:KAPLAN, ELON (DC)
Entity Type:Individual
Prefix:
First Name:ELON
Middle Name:
Last Name:KAPLAN
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 1:115 E GLENSIDE AVE
Mailing Address - Street 2:SUITE 5
Mailing Address - City:GLENSIDE
Mailing Address - State:PA
Mailing Address - Zip Code:19038-4618
Mailing Address - Country:US
Mailing Address - Phone:215-576-7676
Mailing Address - Fax:215-576-7656
Practice Address - Street 1:115 E GLENSIDE AVE
Practice Address - Street 2:SUITE 5
Practice Address - City:GLENSIDE
Practice Address - State:PA
Practice Address - Zip Code:19038-4618
Practice Address - Country:US
Practice Address - Phone:215-576-7676
Practice Address - Fax:215-576-7656
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC-003885-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA5968655OtherAETNA PPO/POS
PA0418784000OtherPA BCBS
PA2189591OtherAETNA HMO
PAKA547216Medicare PIN