Individual
DR. MARK DALE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C,
Contact information
Practice address
1809 E 10TH ST, JEFFERSONVILLE, IN 47130-6015
(812) 282-8977
Mailing address
1809 E 10TH ST, JEFFERSONVILLE, IN 47130-6015
(812) 282-8977
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001031A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000042506
ANTHEM
IN
01
—
1184842882
GROUP NPI
IN
Enumeration date
10/29/2007
Last updated
12/28/2007
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