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Individual

DR. EARL BRIGGS ALLEN JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

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
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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