Provider Demographics
NPI:1023490687
Name:MCALLISTER, PAUL JEREMY (DC)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:JEREMY
Last Name:MCALLISTER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1717 E MICHIGAN AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48912-2840
Mailing Address - Country:US
Mailing Address - Phone:517-253-8360
Mailing Address - Fax:517-253-8393
Practice Address - Street 1:1717 E MICHIGAN AVE
Practice Address - Street 2:SUITE A
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48912-2840
Practice Address - Country:US
Practice Address - Phone:517-253-8360
Practice Address - Fax:517-253-8393
Is Sole Proprietor?:No
Enumeration Date:2015-06-19
Last Update Date:2015-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301010307111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor