Provider Demographics
NPI:1932263357
Name:WELSH, ALAN GLEN (DC)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:GLEN
Last Name:WELSH
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 1:7926 OLD SEWARD HWY
Mailing Address - Street 2:C-3
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99518-3236
Mailing Address - Country:US
Mailing Address - Phone:907-344-2225
Mailing Address - Fax:
Practice Address - Street 1:7926 OLD SEWARD HWY
Practice Address - Street 2:C-3
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99518-3236
Practice Address - Country:US
Practice Address - Phone:907-344-2225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKAA354111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK3369Medicaid
AK151506Medicare ID - Type Unspecified