Timothy R Allison, DC
Individual provider Active NPI Chiropractor · Derry, PA
NPI 1518192558 · NPPES record last updated Oct 13, 2011
Key facts
- NPI
- 1518192558
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1815 (SC)
- Practice address
- 310 S. Chestnut Street
Derry, PA 15627 - Phone
- (724) 570-1389
- Fax
- (724) 694-0677
- NPI assigned
- May 20, 2009
- 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allison Chiropractic Center PC | Chiropractor | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1815 | SC | Yes |
Addresses
Primary practice location
310 S. Chestnut Street
Derry, PA 15627
Mailing address
310 S. Chestnut Street
Derry, PA 15627
Phone (724) 570-1389
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1815 | Other | SC | DC LICENSE |
Other providers in Derry, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 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.