Provider Demographics
NPI:1386627859
Name:ALLEY, ALAN CHRISTOPHER (DC)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:CHRISTOPHER
Last Name:ALLEY
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 1:887 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:MINFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45653-8538
Mailing Address - Country:US
Mailing Address - Phone:740-820-8200
Mailing Address - Fax:740-820-8200
Practice Address - Street 1:835 HIGH ST
Practice Address - Street 2:
Practice Address - City:MINFORD
Practice Address - State:OH
Practice Address - Zip Code:45653-8767
Practice Address - Country:US
Practice Address - Phone:740-820-8200
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2617111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2060684Medicaid
OH2060684Medicaid