Provider Demographics
NPI:1396790291
Name:FELKER, ALAN RICHARD (DC)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:RICHARD
Last Name:FELKER
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 1:8834 N 56TH ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33617-6214
Mailing Address - Country:US
Mailing Address - Phone:813-985-8404
Mailing Address - Fax:
Practice Address - Street 1:8834 N 56TH ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33617-6214
Practice Address - Country:US
Practice Address - Phone:813-985-8404
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH002524111NT0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NT0100XChiropractic ProvidersChiropractorThermography
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLT55654Medicare UPIN
FL88026Medicare ID - Type Unspecified