Provider Demographics
NPI:1073540829
Name:NORRIS, ALLISON K (DC)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:K
Last Name:NORRIS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1469 W 110TH ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44102-2403
Mailing Address - Country:US
Mailing Address - Phone:216-288-6352
Mailing Address - Fax:
Practice Address - Street 1:14520 DETROIT AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:OH
Practice Address - Zip Code:44107-4317
Practice Address - Country:US
Practice Address - Phone:216-227-1490
Practice Address - Fax:216-712-7490
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-27
Last Update Date:2020-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3381111N00000X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000361906OtherANTHEM PROVIDER NUMBER
OH200106675-00OtherBWC PROVIDER NUMBER
OH663916OtherACN PROVIDER ID
OH000000361906OtherANTHEM PROVIDER NUMBER
OH200106675-00OtherBWC PROVIDER NUMBER