Healthcare Provider Details

I. General information

NPI: 1437383429
Provider Name (Legal Business Name): ALLEN CHIROPRACTIC HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2009
Last Update Date: 05/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21717 HOWARD ST
REED CITY MI
49677
US

IV. Provider business mailing address

21717 HOWARD ST PO BOX 208
REED CITY MI
49677
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: DR. DAVID F ALLEN
Title or Position: OWNER
Credential: DC
Phone: 231-832-3234