Provider Demographics
NPI:1205569795
Name:SWANSON, ALAN JOSEPH (DC)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:JOSEPH
Last Name:SWANSON
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 1:2630 ALABAMA ST
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66046-4524
Mailing Address - Country:US
Mailing Address - Phone:913-568-2667
Mailing Address - Fax:
Practice Address - Street 1:1021 1/2 MASSACHUSETTS ST STE 8
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66044-3194
Practice Address - Country:US
Practice Address - Phone:913-568-2667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-03
Last Update Date:2022-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-06199111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor