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Individual
FORREST ALLEN
Active
Individual
FORREST ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0008705
CO
111N00000X
Chiropractor
5602
MT
111NS0005X
Sports Physician Chiropractor
6233
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0008705
CHIROPRACTIC LICENSE
CO
01
—
5602
CHIROPRACTIC LICENSE
MT
Enumeration date
05/08/2019
Last updated
01/24/2024
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