Provider Demographics
NPI:1417992165
Name:DABBS, ALLAN MICHAEL (DC)
Entity Type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:MICHAEL
Last Name:DABBS
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 1:4430 HIGHWAY 5 N
Mailing Address - Street 2:SUITE 2
Mailing Address - City:BRYANT
Mailing Address - State:AR
Mailing Address - Zip Code:72022-7005
Mailing Address - Country:US
Mailing Address - Phone:501-653-2225
Mailing Address - Fax:501-635-7744
Practice Address - Street 1:4430 HIGHWAY 5 N
Practice Address - Street 2:SUITE 2
Practice Address - City:BRYANT
Practice Address - State:AR
Practice Address - Zip Code:72022-7005
Practice Address - Country:US
Practice Address - Phone:501-653-2225
Practice Address - Fax:501-635-7744
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-17
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1572111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR710851575OtherTAX I.D. #
AR150641718Medicaid
5W282OtherBC/BS
AR150642718Medicaid
AR7224220OtherAETNA/PRUDENTIAL
AR150641718Medicaid
AR710851575OtherTAX I.D. #
AR150642718Medicaid