Thomas J Allen, D.C.
Individual provider Active NPI Chiropractor · Bedford, PA
NPI 1114041027 · NPPES record last updated Nov 30, 2011
Key facts
- NPI
- 1114041027
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC001602L (PA)
- Practice address
- 444 E Penn St
Bedford, PA 15522-1435 - Phone
- (814) 623-9619
- Fax
- (814) 623-1451
- NPI assigned
- Mar 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC001602L | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Chiropractic of Bedford, LLC | Chiropractor | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC001602L | PA | Yes |
Addresses
Primary practice location
444 E Penn St
Bedford, PA 15522-1435
Mailing address
444 E Penn St
Bedford, PA 15522-1435
Phone (814) 623-9619
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0711639 | Medicaid | PA | |
| 00022593 | Other | PA | PA WORKERS COMPENSATION |
| AL1351917 | Other | PA | BLUE CROSS BLUE SHIELD |
Other providers in Bedford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.