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Individual
DR. EARL BRIGGS ALLEN JR.
Active
Individual
DR. EARL BRIGGS ALLEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104000489
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00300403
—
VA
01
—
214370
ANTHEM NUMBER
VA
01
—
5178036
AETNA PROVIDER NUMBER
VA
Enumeration date
05/24/2005
Last updated
12/02/2014
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