Provider Demographics
NPI:1770634230
Name:FOUGHTY, ALISON FAY (DC)
Entity Type:Individual
Prefix:DR
First Name:ALISON
Middle Name:FAY
Last Name:FOUGHTY
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:PO BOX 379
Mailing Address - Street 2:
Mailing Address - City:JOHNSTON
Mailing Address - State:IA
Mailing Address - Zip Code:50131-0379
Mailing Address - Country:US
Mailing Address - Phone:515-276-6180
Mailing Address - Fax:515-274-9613
Practice Address - Street 1:5800 MERLE HAY RD STE 10
Practice Address - Street 2:
Practice Address - City:JOHNSTON
Practice Address - State:IA
Practice Address - Zip Code:50131-1217
Practice Address - Country:US
Practice Address - Phone:515-276-6180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA06240111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN32997OtherAWH
IA36722OtherWELLMARK BCBS
IA216862OtherCOVENTRY
IA624779OtherACN
IA1248757Medicaid
IAI12338Medicare ID - Type Unspecified
IA1248757Medicaid