MEDICARE: TIMOTHY J ALLARD 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	111N00000X	Chiropractor	5069	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316937766
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIMOTHY J ALLARD D.C.

Provider Business Mailing Address
First Line	:	222 REED STREET
Second Line	:
City	:	AKRON
State	:	IA
Zip	:	51001
Country	:	US
Telephone Number	:	712-568-2444
Fax Number	:	712-568-2445

Provider Business Practice Location Address
First Line	:	222 REED STREET
Second Line	:	BOX 135
City	:	AKRON
State	:	IA
Zip	:	51001
Country	:	US
Telephone Number	:	712-568-2444
Fax Number	:	712-568-2445

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

Provider Enumeration Date	:	10/26/2005
Last Update Date	:	05/06/2008

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