Provider Demographics
NPI:1225693955
Name:ALLEN, FORREST (DC)
Entity Type:Individual
Prefix:
First Name:FORREST
Middle Name:
Last Name:ALLEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4350 HILLTOP RD
Mailing Address - Street 2:
Mailing Address - City:EVERGREEN
Mailing Address - State:CO
Mailing Address - Zip Code:80439-5851
Mailing Address - Country:US
Mailing Address - Phone:406-599-0084
Mailing Address - Fax:
Practice Address - Street 1:5690 DTC BLVD STE 220E
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-3234
Practice Address - Country:US
Practice Address - Phone:303-335-9540
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-08
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT5602111N00000X
CO6233111NS0005X
CO0008705111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO0008705OtherCHIROPRACTIC LICENSE
MT5602OtherCHIROPRACTIC LICENSE