Organization
ALLEN CHIROPRACTIC CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EARL B ALLEN JR. DC (PRESIDENT)
(276) 466-2273
Entity
Organization
Contact information
Practice address
1932 LEE HWY, BRISTOL, VA 24201-1624
(276) 466-2273
(276) 466-2214
Mailing address
PO BOX 16056, BRISTOL, VA 24209-6056
(276) 466-2273
(276) 466-2214
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
0104000489
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00300403
—
VA
01
—
214370
ANTHEM
VA
01
—
350001026
MEDICARE
VA
Enumeration date
01/11/2009
Last updated
12/04/2014
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