Provider Demographics
NPI:1336240654
Name:ALAN M SHAFF DC
Entity Type:Organization
Organization Name:ALAN M SHAFF DC
Other - Org Name:BOCA DELRAY CHIROPRACTIC & HOLISTIC CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:SHAFF
Authorized Official - Suffix:
Authorized Official - Credentials:DC,DACBSP
Authorized Official - Phone:561-495-4357
Mailing Address - Street 1:4801 LINTON BLVD
Mailing Address - Street 2:SUITE 9-A
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-6501
Mailing Address - Country:US
Mailing Address - Phone:561-495-4357
Mailing Address - Fax:561-495-4357
Practice Address - Street 1:4801 LINTON BLVD
Practice Address - Street 2:SUITE 9-A
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-6501
Practice Address - Country:US
Practice Address - Phone:561-495-4357
Practice Address - Fax:561-496-6675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 4361111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty