Provider Demographics
NPI:1467677260
Name:MCALLISTER CHIROPRACTIC PSC
Entity Type:Organization
Organization Name:MCALLISTER CHIROPRACTIC PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:MCALLISTER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:812-945-3800
Mailing Address - Street 1:4308 GRANT LINE RD
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:IN
Mailing Address - Zip Code:47150-2006
Mailing Address - Country:US
Mailing Address - Phone:812-945-3800
Mailing Address - Fax:812-945-8860
Practice Address - Street 1:4308 GRANT LINE RD
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-2006
Practice Address - Country:US
Practice Address - Phone:812-945-3800
Practice Address - Fax:812-945-8860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2020-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001995A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
M100030152OtherMEDICARE (PTAN)