Provider Demographics
NPI:1821360124
Name:DR ALAN P. KRASNOFF DC PC
Entity Type:Organization
Organization Name:DR ALAN P. KRASNOFF DC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:KRASNOFF
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:757-547-9266
Mailing Address - Street 1:1101 BATTLEFIELD BLVD N
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-4735
Mailing Address - Country:US
Mailing Address - Phone:757-547-9266
Mailing Address - Fax:757-547-9268
Practice Address - Street 1:1101 BATTLEFIELD BLVD N
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-4735
Practice Address - Country:US
Practice Address - Phone:757-547-9266
Practice Address - Fax:757-547-9268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-01
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104000242111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA350953337Medicare PIN