Provider Demographics
NPI:1912920414
Name:HUTCHESON, ALAN (DC)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:
Last Name:HUTCHESON
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 1:1920 E NC HIGHWAY 54
Mailing Address - Street 2:SUITE 240
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-2293
Mailing Address - Country:US
Mailing Address - Phone:919-544-3715
Mailing Address - Fax:919-544-7734
Practice Address - Street 1:1920 E NC HIGHWAY 54
Practice Address - Street 2:SUITE 240
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-2293
Practice Address - Country:US
Practice Address - Phone:919-544-3715
Practice Address - Fax:919-544-7734
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2114111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC08601OtherBCBS
NC2449241Medicare ID - Type Unspecified