Provider Demographics
NPI:1265707277
Name:D.S. MAKLAN DC PA
Entity type:Organization
Organization Name:D.S. MAKLAN DC PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:MAKLAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:954-422-1865
Mailing Address - Street 1:616 S FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33441-4154
Mailing Address - Country:US
Mailing Address - Phone:954-422-1865
Mailing Address - Fax:954-427-2702
Practice Address - Street 1:616 S FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33441-4154
Practice Address - Country:US
Practice Address - Phone:954-422-1865
Practice Address - Fax:954-427-2702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-09
Last Update Date:2012-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7047111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL55447Medicare UPIN