Provider Demographics
NPI:1154544948
Name:ALLIS, JOSEPH A (LAC)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:A
Last Name:ALLIS
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
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Mailing Address - Street 1:251 CENTRAL AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-4188
Mailing Address - Country:US
Mailing Address - Phone:603-742-6277
Mailing Address - Fax:603-742-6277
Practice Address - Street 1:251 CENTRAL AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-4188
Practice Address - Country:US
Practice Address - Phone:603-742-6277
Practice Address - Fax:603-742-6277
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2014-08-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NHACP-086171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist