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Organization

ALLEN CHIROPRACTIC WELLNESS CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LAURIE M ALLEN D.C., F.I.A.M.A. (OWNER)
(573) 778-0500
Entity
Organization

Contact information

Practice address
1018 S WESTWOOD BLVD, SUITE 5, POPLAR BLUFF, MO 63901-6108
(573) 778-0500
(573) 778-0160
Mailing address
1018 S WESTWOOD BLVD, SUITE 5, POPLAR BLUFF, MO 63901-6108
(573) 778-0500
(573) 778-0160

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
CE 6097
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1902020068
MEDICARE NPI NUMBER
MO
Enumeration date
10/28/2009
Last updated
10/28/2009
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