Provider Demographics
NPI:1053665364
Name:SPERBER, ALAINA MARIE (DC)
Entity type:Individual
Prefix:DR
First Name:ALAINA
Middle Name:MARIE
Last Name:SPERBER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:ALAINA
Other - Middle Name:MARIE
Other - Last Name:LESLIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:721 CARDINAL LN
Mailing Address - Street 2:SUITE 100
Mailing Address - City:GREEN BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54313-3216
Mailing Address - Country:US
Mailing Address - Phone:920-434-2221
Mailing Address - Fax:
Practice Address - Street 1:721 CARDINAL LN
Practice Address - Street 2:SUITE 100
Practice Address - City:GREEN BAY
Practice Address - State:WI
Practice Address - Zip Code:54313-3216
Practice Address - Country:US
Practice Address - Phone:920-434-2221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-08
Last Update Date:2013-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4904-12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor