Allison Marie Gouker, DC
Individual provider Active NPI Chiropractor · Waterville, OH
NPI 1275001091 · NPPES record last updated Nov 9, 2018
Key facts
- NPI
- 1275001091
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC-04848 (OH)
- Practice address
- 1222 Pray Blvd
Waterville, OH 43566-8717 - Phone
- (419) 878-8142
- Fax
- (419) 878-8143
- NPI assigned
- Nov 9, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rebel Chiropractic LLC
Practice addresses (Care Compare)
1222 Pray Blvd
Suite 1
Waterville, OH 43566-8717
Phone (419) 878-8142
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190111002827 | OH | Practitioner - Chiropractic | 4789920794 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rebel Chiropractic LLC | Chiropractor | Current |
Accepting new patients |
Locations
1222 Pray Blvd
Waterville, OH 43566
Phone (419) 441-4252
1222 Pray Blvd
#1
Waterville, OH 43566
Phone (419) 878-8142
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC-04848 | OH | Yes |
Addresses
Primary practice location
1222 Pray Blvd
Waterville, OH 43566-8717
Mailing address
1222 Pray Blvd
Waterville, OH 43566-8717
Phone (419) 878-8142
Other providers in Waterville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.