Healthcare Provider Details

I. General information

NPI: 1467654806
Provider Name (Legal Business Name): WILLIAM JOHN ALLOWAY DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6500 SEVEN LOCKS ROAD SUITE 202
CABIN JOHN MD
20818-1629
US

IV. Provider business mailing address

6408 82ND PLACE
CABIN JOHN MD
20818-1629
US

V. Phone/Fax

Practice location:
  • Phone: 301-320-9700
  • Fax: 301-229-1815
Mailing address:
  • Phone: 301-320-1608
  • Fax: 301-320-9780

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number01153
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: