Provider Demographics
NPI:1194774992
Name:COMEN, ALAN (DC)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:
Last Name:COMEN
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 1:152 CIVITAS ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-6692
Mailing Address - Country:US
Mailing Address - Phone:843-971-1000
Mailing Address - Fax:843-971-4004
Practice Address - Street 1:152 CIVITAS ST
Practice Address - Street 2:SUITE 201
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-6692
Practice Address - Country:US
Practice Address - Phone:843-971-1000
Practice Address - Fax:843-971-4004
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2862111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor