Provider Demographics
NPI:1306936521
Name:TRATT, ALLEN (DC)
Entity type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:
Last Name:TRATT
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 1:39 N FULTON ST
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:NY
Mailing Address - Zip Code:13021-2725
Mailing Address - Country:US
Mailing Address - Phone:315-730-3485
Mailing Address - Fax:
Practice Address - Street 1:39 N FULTON ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:NY
Practice Address - Zip Code:13021-2725
Practice Address - Country:US
Practice Address - Phone:315-730-3485
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY00000000111NI0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0900XChiropractic ProvidersChiropractorInternist