Provider Demographics
NPI:1790915247
Name:ALLENDER CHIROPRACTIC GROUP, PC
Entity Type:Organization
Organization Name:ALLENDER CHIROPRACTIC GROUP, PC
Other - Org Name:ALLENDER CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:J
Authorized Official - Last Name:ALLENDER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:712-225-5141
Mailing Address - Street 1:1210 S 2ND ST
Mailing Address - Street 2:
Mailing Address - City:CHEROKEE
Mailing Address - State:IA
Mailing Address - Zip Code:51012-2139
Mailing Address - Country:US
Mailing Address - Phone:712-225-5141
Mailing Address - Fax:712-225-4150
Practice Address - Street 1:1210 S 2ND ST
Practice Address - Street 2:
Practice Address - City:CHEROKEE
Practice Address - State:IA
Practice Address - Zip Code:51012-2139
Practice Address - Country:US
Practice Address - Phone:712-225-5141
Practice Address - Fax:712-225-4150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-17
Last Update Date:2009-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA05070111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty