Earl Briggs Allen Jr., DC

Individual provider Active NPI Chiropractor · Bristol, VA

NPI 1982607834 · NPPES record last updated Dec 2, 2014

Key facts

NPI
1982607834
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
0104000489 (VA)
Practice address
1932 Lee Hwy
Bristol, VA 24201-1624
Phone
(276) 466-2273
Fax
(276) 466-2214
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Okane Chiropractic Inc Chiropractor Past
since Mar 19, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104000489 VA Yes

Addresses

Primary practice location

1932 Lee Hwy
Bristol, VA 24201-1624

Mailing address

PO Box 16056
Bristol, VA 24209-6056
Phone (276) 466-2273

Other identifiers

IdentifierTypeStateIssuer
214370OtherVAANTHEM NUMBER
5178036OtherVAAETNA PROVIDER NUMBER
00300403MedicaidVA

Other providers in Bristol, VA

All providers in Bristol, VA · Chiropractor in Virginia

Sources for this page

Verify at the official NPI Registry.