MEDICARE: DAVID ALLEN HEAD D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NX0800X	Orthopedic Chiropractor	1150	AL

General Provider Information

NPI Number	:	1174542625
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID ALLEN HEAD D.C.

Provider Business Mailing Address
First Line	:	1013 W FORT WILLIAMS ST
Second Line	:
City	:	SYLACAUGA
State	:	AL
Zip	:	35150-2301
Country	:	US
Telephone Number	:	256-245-2258
Fax Number	:	256-245-2259

Provider Business Practice Location Address
First Line	:	1013 W FORT WILLIAMS ST
Second Line	:
City	:	SYLACAUGA
State	:	AL
Zip	:	35150-2301
Country	:	US
Telephone Number	:	256-245-2258
Fax Number	:	256-245-2259

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	07/08/2007

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Directions to “ DAVID ALLEN HEAD D.C.” Practice Location

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