Provider Demographics
NPI:1902908676
Name:PEEL, ALLISON JEAN (DC, DACBR)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:JEAN
Last Name:PEEL
Suffix:
Gender:F
Credentials:DC, DACBR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6418 HARBOR OAKS DR
Mailing Address - Street 2:
Mailing Address - City:JOHNSTON
Mailing Address - State:IA
Mailing Address - Zip Code:50131-1927
Mailing Address - Country:US
Mailing Address - Phone:515-251-4480
Mailing Address - Fax:
Practice Address - Street 1:6418 HARBOR OAKS DR
Practice Address - Street 2:
Practice Address - City:JOHNSTON
Practice Address - State:IA
Practice Address - Zip Code:50131-1927
Practice Address - Country:US
Practice Address - Phone:515-251-4480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2010-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA5342111NR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0200XChiropractic ProvidersChiropractorRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHU30350Medicare UPIN