MEDICARE: DR. ALAN RICHARD PAPENHEIM DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH7878	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	70802	OTHER	FL	BC PROVIDER #
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801832316
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALAN RICHARD PAPENHEIM DC

Provider Business Mailing Address
First Line	:	P.O. BOX 5883
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34611
Country	:	US
Telephone Number	:	352-683-3993
Fax Number	:	352-683-3994

Provider Business Practice Location Address
First Line	:	7048 MARINER BLVD
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34609-1000
Country	:	US
Telephone Number	:	352-683-3993
Fax Number	:	352-683-3994

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2006
Last Update Date	:	05/04/2020

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