Provider Demographics
NPI:1457428286
Name:TRUE, ALVIN J (DC)
Entity Type:Individual
Prefix:DR
First Name:ALVIN
Middle Name:J
Last Name:TRUE
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 1:161 NORTH PARK SQUARE
Mailing Address - Street 2:
Mailing Address - City:FRUITA
Mailing Address - State:CO
Mailing Address - Zip Code:81521
Mailing Address - Country:US
Mailing Address - Phone:970-858-3511
Mailing Address - Fax:970-858-9778
Practice Address - Street 1:161 NORTH PARK SQUARE
Practice Address - Street 2:
Practice Address - City:FRUITA
Practice Address - State:CO
Practice Address - Zip Code:81521
Practice Address - Country:US
Practice Address - Phone:970-858-3511
Practice Address - Fax:970-858-9778
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3155111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CK7313Medicare PIN