MEDICARE: DR. CHEYNIA D. ALLEN B.S., 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	4178	SC

General Provider Information

NPI Number	:	1619428398
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHEYNIA D. ALLEN B.S., D.C.

Provider Business Mailing Address
First Line	:	3501 CLEMSON BLVD
Second Line	:	SUITE 11
City	:	ANDERSON
State	:	SC
Zip	:	29621-1328
Country	:	US
Telephone Number	:	864-716-2117
Fax Number	:

Provider Business Practice Location Address
First Line	:	3501 CLEMSON BLVD
Second Line	:	SUITE 11
City	:	ANDERSON
State	:	SC
Zip	:	29621-1328
Country	:	US
Telephone Number	:	864-716-2117
Fax Number	:

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

Provider Enumeration Date	:	10/18/2016
Last Update Date	:	10/18/2016

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