Healthcare Provider Details

I. General information

NPI: 1598808719
Provider Name (Legal Business Name): DR ALAN D. CORNFIELD SILVER SPRING CHIROPRACTIC PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2007
Last Update Date: 12/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2730 UNIVERSITY BLVD W STE 500
WHEATON MD
20902-1975
US

IV. Provider business mailing address

2730 UNIVERSITY BLVD W STE 500
WHEATON MD
20902-1975
US

V. Phone/Fax

Practice location:
  • Phone: 301-585-2225
  • Fax: 301-929-0245
Mailing address:
  • Phone: 301-585-2225
  • Fax: 301-929-0245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License NumberS01370
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License NumberS01370
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License NumberD0046195
License Number StateMD

VIII. Authorized Official

Name: DR. ALAN D. CORNFIELD
Title or Position: C.E.O.
Credential: DC
Phone: 301-585-2225