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Individual
MR. BRIAN J ALLEN
Active
Individual
MR. BRIAN J ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038011163
IL
111N00000X
Chiropractor
S03483
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101022
JHHC
MD
01
—
204558300
MAMD
—
01
—
22281
ALLIANCE
MD
01
—
273638
AETNA
MD
01
—
6978412004
ASHN
—
01
—
DD0972
MEDICARE RR
—
01
—
E466
BSDC
DC
01
—
S765AL
BSMD
MD
Enumeration date
03/21/2007
Last updated
12/22/2010
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