Provider Demographics
NPI:1851383335
Name:PURITZ, ALLAN H (DC)
Entity Type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:H
Last Name:PURITZ
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 1:208 WASHINGTON HEIGHTS MED CTR
Mailing Address - Street 2:STE 103
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157-5633
Mailing Address - Country:US
Mailing Address - Phone:410-848-8022
Mailing Address - Fax:410-848-8499
Practice Address - Street 1:208 WASHINGTON HEIGHTS MED CTR
Practice Address - Street 2:STE 103
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-5633
Practice Address - Country:US
Practice Address - Phone:410-848-8022
Practice Address - Fax:410-848-8499
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-19
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD501668111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDM458OtherBCBS OF MD
E1660001OtherBLUE CHOICE
537QMedicare ID - Type Unspecified