Provider Demographics
NPI:1316937766
Name:ALLARD, TIMOTHY J (DC)
Entity type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:J
Last Name:ALLARD
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 1:222 REED STREET
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:IA
Mailing Address - Zip Code:51001
Mailing Address - Country:US
Mailing Address - Phone:712-568-2444
Mailing Address - Fax:712-568-2445
Practice Address - Street 1:222 REED STREET
Practice Address - Street 2:BOX 135
Practice Address - City:AKRON
Practice Address - State:IA
Practice Address - Zip Code:51001
Practice Address - Country:US
Practice Address - Phone:712-568-2444
Practice Address - Fax:712-568-2445
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-26
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA5069111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0226019Medicaid
IAT01285Medicare UPIN
IA22601Medicare PIN