Individual
SCOTT BRADFORD ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1140 CONNECTICUT AVE NW STE 950, WASHINGTON, DC 20036-4031
(202) 828-8303
(202) 828-8305
Mailing address
1140 CONNECTICUT AVE NW STE 950, WASHINGTON, DC 20036-4031
(202) 828-8303
(202) 828-8305
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104557570
VA
2255A2300X
Athletic Trainer
A0000719
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0104-557570
STATE LICENSE
VA
Enumeration date
06/26/2015
Last updated
05/01/2019
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