Provider Demographics
NPI:1962023044
Name:BATES, ALISON JADE (DC)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:JADE
Last Name:BATES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:JADE
Other - Last Name:OSOWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:204 9TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:ISANTI
Mailing Address - State:MN
Mailing Address - Zip Code:55040
Mailing Address - Country:US
Mailing Address - Phone:701-520-3251
Mailing Address - Fax:
Practice Address - Street 1:137 2ND AVE SW
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MN
Practice Address - Zip Code:55008-1502
Practice Address - Country:US
Practice Address - Phone:763-689-2462
Practice Address - Fax:763-689-1688
Is Sole Proprietor?:No
Enumeration Date:2020-04-30
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6733111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor