MEDICARE: SEPLOW CHIROPRACTIC, INC.

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	DC24599	CA

General Provider Information

NPI Number	:	1528128287
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEPLOW CHIROPRACTIC, INC.

Provider Business Mailing Address
First Line	:	14417 BURBANK BLVD
Second Line	:
City	:	SHERMAN OAKS
State	:	CA
Zip	:	91401-4824
Country	:	US
Telephone Number	:	818-786-5985
Fax Number	:	818-786-6849

Provider Business Practice Location Address
First Line	:	14417 BURBANK BLVD
Second Line	:
City	:	SHERMAN OAKS
State	:	CA
Zip	:	91401-4824
Country	:	US
Telephone Number	:	818-786-5985
Fax Number	:	818-786-6849

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ALAN HOWARD SEPLOW
Credential	:	DC
Telephone Number	:	818-786-5985

Provider Enumeration Date	:	12/11/2006
Last Update Date	:	08/22/2020

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