Provider Demographics
NPI:1841249455
Name:STOUGHTON, ALAN J (DC)
Entity type:Individual
Prefix:MR
First Name:ALAN
Middle Name:J
Last Name:STOUGHTON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1193 BERGEN PKWY
Mailing Address - Street 2:SUITE F
Mailing Address - City:EVERGREEN
Mailing Address - State:CO
Mailing Address - Zip Code:80439-9504
Mailing Address - Country:US
Mailing Address - Phone:303-670-8902
Mailing Address - Fax:303-670-3580
Practice Address - Street 1:1193 BERGEN PKWY
Practice Address - Street 2:SUITE F
Practice Address - City:EVERGREEN
Practice Address - State:CO
Practice Address - Zip Code:80439-9504
Practice Address - Country:US
Practice Address - Phone:303-670-8902
Practice Address - Fax:303-670-3580
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038010334111N00000X
CO6972111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
670827OtherAMERICAN CHIROPRACTIC NET
IL04923223OtherGROUP BLUE CROSS B S
11420007OtherCAQH
0948803OtherCIGNA
670827OtherAMERICAN CHIROPRACTIC NET
IL04923223OtherGROUP BLUE CROSS B S