Provider Demographics
NPI:1063538460
Name:SOKOLOFF, ALAN K (DC)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:K
Last Name:SOKOLOFF
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 1:331 OAK MANOR DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-5548
Mailing Address - Country:US
Mailing Address - Phone:443-749-0001
Mailing Address - Fax:443-749-0011
Practice Address - Street 1:331 OAK MANOR DR
Practice Address - Street 2:SUITE 201
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-5508
Practice Address - Country:US
Practice Address - Phone:443-749-0001
Practice Address - Fax:443-749-0011
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2007-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS01331111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDDD0972OtherMBRR
E466OtherBSDC
6978412004OtherASHN
MD101022OtherJHHC
MDS756ALOtherBSMD
MD22281OtherALLIANCE
2736388OtherAETNA
MD22281OtherALLIANCE
MDDD0972OtherMBRR