Provider Demographics
NPI:1346295003
Name:ALLEN, JAMES H (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:H
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 1:133 N MAIN ST
Mailing Address - Street 2:PO BOX 633
Mailing Address - City:WOODRUFF
Mailing Address - State:SC
Mailing Address - Zip Code:29388-1845
Mailing Address - Country:US
Mailing Address - Phone:864-476-3111
Mailing Address - Fax:864-476-9244
Practice Address - Street 1:133 NORTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:WOODRUFF
Practice Address - State:SC
Practice Address - Zip Code:29388
Practice Address - Country:US
Practice Address - Phone:864-476-3111
Practice Address - Fax:864-476-3111
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1127111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCCH1127Medicaid
T83763Medicare UPIN
SCCH1127Medicaid