Provider Demographics
NPI:1285878702
Name:ALLEN, IAN PATRICK (DC)
Entity type:Individual
Prefix:DR
First Name:IAN
Middle Name:PATRICK
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 1:1800 E HIGH ST
Mailing Address - Street 2:SUITE 375
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19464-3239
Mailing Address - Country:US
Mailing Address - Phone:570-470-7294
Mailing Address - Fax:
Practice Address - Street 1:1800 E HIGH ST
Practice Address - Street 2:SUITE 375
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19464-3239
Practice Address - Country:US
Practice Address - Phone:570-470-7294
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-28
Last Update Date:2009-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010088111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor