Provider Demographics
NPI:1528100096
Name:ALLAN D LAIRD DC
Entity type:Organization
Organization Name:ALLAN D LAIRD DC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ALLAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LAIRD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-896-4926
Mailing Address - Street 1:PO BOX 1138
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-0038
Mailing Address - Country:US
Mailing Address - Phone:215-896-4926
Mailing Address - Fax:215-297-8941
Practice Address - Street 1:3853 OLD EASTON RD
Practice Address - Street 2:SUITE G
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-1195
Practice Address - Country:US
Practice Address - Phone:215-896-4926
Practice Address - Fax:215-297-8941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0708615000OtherKEYSTONE
P880487OtherOXFORD