Healthcare Provider Details

I. General information

NPI: 1033274824
Provider Name (Legal Business Name): ALLEN CHIROPRACTIC, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2006
Last Update Date: 11/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 PLEASANT ST
ANTRIM NH
03440-0158
US

IV. Provider business mailing address

PO BOX 158 14 PLEASANT ST
ANTRIM NH
03440-0158
US

V. Phone/Fax

Practice location:
  • Phone: 603-588-2900
  • Fax: 603-588-2903
Mailing address:
  • Phone: 603-588-2900
  • Fax: 603-588-2903

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. LOYALL C ALLEN
Title or Position: OWNER
Credential: DC
Phone: 603-588-2900