Provider Demographics
NPI:1700890951
Name:AUSTIN, ALISON (DC)
Entity type:Individual
Prefix:DR
First Name:ALISON
Middle Name:
Last Name:AUSTIN
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 1:22 OLD COVE RD
Mailing Address - Street 2:
Mailing Address - City:DUXBURY
Mailing Address - State:MA
Mailing Address - Zip Code:02332-3901
Mailing Address - Country:US
Mailing Address - Phone:781-879-9118
Mailing Address - Fax:
Practice Address - Street 1:33 RAILROAD AVE
Practice Address - Street 2:UNIT 3
Practice Address - City:DUXBURY
Practice Address - State:MA
Practice Address - Zip Code:02332-3879
Practice Address - Country:US
Practice Address - Phone:781-934-0020
Practice Address - Fax:781-934-0057
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3063111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAAA52339OtherHARVARD PILGRIM
MAY37120OtherBLUECROSS/BLUESHIELD
MAAA52339OtherHARVARD PILGRIM