Provider Demographics
NPI:1699426262
Name:BAUGH, ALLISON (DC)
Entity type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:
Last Name:BAUGH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1482 PARKSIDE COMMONS CT APT 301
Mailing Address - Street 2:
Mailing Address - City:VALLEY PARK
Mailing Address - State:MO
Mailing Address - Zip Code:63088-1528
Mailing Address - Country:US
Mailing Address - Phone:573-579-5534
Mailing Address - Fax:
Practice Address - Street 1:235 JUNGERMANN RD STE 209
Practice Address - Street 2:
Practice Address - City:SAINT PETERS
Practice Address - State:MO
Practice Address - Zip Code:63376-5365
Practice Address - Country:US
Practice Address - Phone:573-579-5534
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-14
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2022000976111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor