Provider Demographics
NPI:1013931310
Name:UNRUH, ALLEN DALE (DC)
Entity Type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:DALE
Last Name:UNRUH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 N WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57104-2029
Mailing Address - Country:US
Mailing Address - Phone:605-332-1962
Mailing Address - Fax:605-332-5931
Practice Address - Street 1:600 N WESTERN AVE
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57104-2029
Practice Address - Country:US
Practice Address - Phone:605-332-1962
Practice Address - Fax:605-332-5931
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD525111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD4997913OtherBCBS OF SD
SD4997913OtherBCBS OF SD
T66455Medicare UPIN