=====================================================
General NPI Number Information
=====================================================
NPI Number | 1104114438
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SUMMER D MCALLISTER ND
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/20/2011
-----------------------------------------------------
Last Update Date | 10/19/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 71 EAST AVE SUITE D
-----------------------------------------------------
City | NORWALK
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06851-4903
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 877-437-3537
-----------------------------------------------------
Fax | 917-456-0362
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 71 EAST AVE SUITE D
-----------------------------------------------------
City | NORWALK
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06851-4903
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 877-437-3537
-----------------------------------------------------
Fax | 917-456-0362
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 175F00000X
-----------------------------------------------------
Taxonomy Name | Naturopath
-----------------------------------------------------
License Number | 000451
-----------------------------------------------------
License Number State | CT
-----------------------------------------------------