Provider Demographics
NPI:1467954420
Name:CAIN, ALLISON NICHOLE (DC)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:NICHOLE
Last Name:CAIN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:NICHOLE
Other - Last Name:HEINZMANN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2076 WISHER RD
Mailing Address - Street 2:
Mailing Address - City:PATOKA
Mailing Address - State:IL
Mailing Address - Zip Code:62875-2006
Mailing Address - Country:US
Mailing Address - Phone:618-367-2002
Mailing Address - Fax:
Practice Address - Street 1:305 W VIRGINIA AVE
Practice Address - Street 2:
Practice Address - City:EFFINGHAM
Practice Address - State:IL
Practice Address - Zip Code:62401-2255
Practice Address - Country:US
Practice Address - Phone:217-347-5455
Practice Address - Fax:217-347-7119
Is Sole Proprietor?:No
Enumeration Date:2018-03-06
Last Update Date:2018-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.013192111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor