Provider Demographics
NPI:1336452671
Name:KHIGER, ALAN (DC)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:
Last Name:KHIGER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:ALAN
Other - Middle Name:
Other - Last Name:KHIGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:6320 SAINT AUGUSTINE RD
Mailing Address - Street 2:STE 10
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32217-2813
Mailing Address - Country:US
Mailing Address - Phone:904-701-3916
Mailing Address - Fax:904-512-0232
Practice Address - Street 1:6320 SAINT AUGUSTINE RD
Practice Address - Street 2:STE 10
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32217-2813
Practice Address - Country:US
Practice Address - Phone:904-701-3916
Practice Address - Fax:904-512-0232
Is Sole Proprietor?:No
Enumeration Date:2010-07-15
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH11222111NI0013X, 111NI0013X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0013XChiropractic ProvidersChiropractorIndependent Medical Examiner