MEDICARE: ALLISON K NORRIS D.C.

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	3381	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000361906	OTHER	OH	ANTHEM PROVIDER NUMBER
2	200106675-00	OTHER	OH	BWC PROVIDER NUMBER
3	663916	OTHER	OH	ACN PROVIDER ID

General Provider Information

NPI Number	:	1073540829
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON K NORRIS D.C.

Provider Business Mailing Address
First Line	:	1469 W 110TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44102-2403
Country	:	US
Telephone Number	:	216-288-6352
Fax Number	:

Provider Business Practice Location Address
First Line	:	14520 DETROIT AVE
Second Line	:
City	:	LAKEWOOD
State	:	OH
Zip	:	44107-4317
Country	:	US
Telephone Number	:	216-227-1490
Fax Number	:	216-712-7490

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

Provider Enumeration Date	:	06/27/2006
Last Update Date	:	05/22/2020

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Directions to “ ALLISON K NORRIS D.C.” Practice Location

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