Healthcare Provider Details

I. General information

NPI: 1194847376
Provider Name (Legal Business Name): ALLISON L HARVEY D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2007
Last Update Date: 09/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 S LINDBERGH BLVD SUITE 3
SAINT LOUIS MO
63127-1830
US

IV. Provider business mailing address

4600 S LINDBERGH BLVD SUITE 3
SAINT LOUIS MO
63127-1830
US

V. Phone/Fax

Practice location:
  • Phone: 314-729-0027
  • Fax: 314-729-1015
Mailing address:
  • Phone: 314-729-0027
  • Fax: 314-729-1015

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number038-010719
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: