Provider Demographics
NPI:1780842864
Name:CARLSON, ALLISON CHRISTINE (DC)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:CHRISTINE
Last Name:CARLSON
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 1:4600 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50321-1237
Mailing Address - Country:US
Mailing Address - Phone:515-782-2763
Mailing Address - Fax:515-243-6242
Practice Address - Street 1:4600 PARK AVE
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50321-1237
Practice Address - Country:US
Practice Address - Phone:515-782-2763
Practice Address - Fax:515-243-6242
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-27
Last Update Date:2011-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007026111N00000X
IL038.010832111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor