Healthcare Provider Details

I. General information

NPI: 1194897009
Provider Name (Legal Business Name): DAVID FRANK ALLEN DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21717 HOWARD STREET
REED CITY MI
49677-0208
US

IV. Provider business mailing address

PO BOX 208 21717 HOWARD ST
REED CITY MI
49677-0208
US

V. Phone/Fax

Practice location:
  • Phone: 231-832-3234
  • Fax: 231-832-4557
Mailing address:
  • Phone: 231-832-3234
  • Fax: 231-832-4557

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2301005223
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: