Provider Demographics
NPI:1033274824
Name:ALLEN CHIROPRACTIC, PLLC
Entity Type:Organization
Organization Name:ALLEN CHIROPRACTIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LOYALL
Authorized Official - Middle Name:C
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:603-588-2900
Mailing Address - Street 1:PO BOX 158
Mailing Address - Street 2:14 PLEASANT ST
Mailing Address - City:ANTRIM
Mailing Address - State:NH
Mailing Address - Zip Code:03440-0158
Mailing Address - Country:US
Mailing Address - Phone:603-588-2900
Mailing Address - Fax:603-588-2903
Practice Address - Street 1:14 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:ANTRIM
Practice Address - State:NH
Practice Address - Zip Code:03440-0158
Practice Address - Country:US
Practice Address - Phone:603-588-2900
Practice Address - Fax:603-588-2903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2012-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30003264Medicaid
NH05Y007486NH02OtherANTHEM BCBS NH
NHRE7647Medicare PIN