Healthcare Provider Details

I. General information

NPI: 1073591442
Provider Name (Legal Business Name): LOYALL C ALLEN DC
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 01/05/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 HENNIKER ST
HILLSBORO NH
03244-5528
US

IV. Provider business mailing address

PO BOX 55 4 HENNIKER STREET SUITE A
HILLSBORO NH
03244-0055
US

V. Phone/Fax

Practice location:
  • Phone: 603-464-3303
  • Fax: 603-464-3433
Mailing address:
  • Phone: 603-464-3303
  • Fax: 603-464-3433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number0010689-R
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: