Provider Demographics
NPI:1801075445
Name:ALLEN, GEOFFREY ANSON (DC)
Entity type:Individual
Prefix:DR
First Name:GEOFFREY
Middle Name:ANSON
Last Name:ALLEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9477 GREENBACK LN
Mailing Address - Street 2:#520
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-2047
Mailing Address - Country:US
Mailing Address - Phone:916-985-9686
Mailing Address - Fax:916-358-7451
Practice Address - Street 1:9477 GREENBACK LN
Practice Address - Street 2:#520
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-2047
Practice Address - Country:US
Practice Address - Phone:916-985-9686
Practice Address - Fax:916-358-7451
Is Sole Proprietor?:No
Enumeration Date:2007-10-31
Last Update Date:2015-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC31124111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor