Provider Demographics
NPI:1366544934
Name:KRASNOFF, ALAN PAUL (DC)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:PAUL
Last Name:KRASNOFF
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 1:1101 BATTLEFIELD BLVD N
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-4735
Mailing Address - Country:US
Mailing Address - Phone:757-547-9266
Mailing Address - Fax:757-547-9268
Practice Address - Street 1:1101 BATTLEFIELD BLVD N
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-4735
Practice Address - Country:US
Practice Address - Phone:757-547-9266
Practice Address - Fax:757-547-9268
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104000242111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA460132OtherASHN
VA075017OtherANTHEM
VA460253OtherACN
VA460253OtherACN
VA541210056Medicare UPIN