Provider Demographics
NPI:1568009470
Name:WORKMAN THOMPSON, ALLISON JUNE (DC)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:JUNE
Last Name:WORKMAN THOMPSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 HARRIS RD
Mailing Address - Street 2:
Mailing Address - City:BROADVIEW HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44147-2638
Mailing Address - Country:US
Mailing Address - Phone:440-218-0056
Mailing Address - Fax:
Practice Address - Street 1:1394 CRANFORD AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:OH
Practice Address - Zip Code:44107-2310
Practice Address - Country:US
Practice Address - Phone:216-200-7902
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-10
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHDC-04930111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor