Provider Demographics
NPI:1831106921
Name:RESNICK, ALLISON BETH (DC)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:BETH
Last Name:RESNICK
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 1:47 CLAPBOARD HILL RD
Mailing Address - Street 2:SUITE #1
Mailing Address - City:GUILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06437-2200
Mailing Address - Country:US
Mailing Address - Phone:203-453-1051
Mailing Address - Fax:203-453-2010
Practice Address - Street 1:47 CLAPBOARD HILL RD
Practice Address - Street 2:SUITE #1
Practice Address - City:GUILFORD
Practice Address - State:CT
Practice Address - Zip Code:06437-2200
Practice Address - Country:US
Practice Address - Phone:203-453-1051
Practice Address - Fax:203-453-2010
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2017-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2506111N00000X
CT001868111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2568465OtherAETNA US HEALTHCARE
MA002506OtherTUFTS
MA351350OtherHARVARD PILGRIM, MA
MAY36800OtherBC/BS
MAB21198402OtherCIGNA
MAY36800OtherBC/BS
MA2568465OtherAETNA US HEALTHCARE