Provider Demographics
NPI:1194897009
Name:ALLEN, DAVID FRANK (DC)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:FRANK
Last Name:ALLEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 208
Mailing Address - Street 2:21717 HOWARD ST
Mailing Address - City:REED CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49677-0208
Mailing Address - Country:US
Mailing Address - Phone:231-832-3234
Mailing Address - Fax:231-832-4557
Practice Address - Street 1:21717 HOWARD STREET
Practice Address - Street 2:
Practice Address - City:REED CITY
Practice Address - State:MI
Practice Address - Zip Code:49677-0208
Practice Address - Country:US
Practice Address - Phone:231-832-3234
Practice Address - Fax:231-832-4557
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301005223111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI950F75003OtherBCBS
MIOM90420Medicare ID - Type Unspecified