Allen Chiropractic Wellness Center

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

CE 6097 Issued in MO

Legal business name

ALLEN CHIROPRACTIC WELLNESS CENTER

Practice address

1018 S Westwood Blvd
Suite 5
Poplar Bluff, MO 63901-6108

Phone

(573) 778-0500

Fax

(573) 778-0160

NPI assigned

Oct 28, 2009

Organization subpart

No

Name

Dr. Laurie M Allen, D.C., F.I.A.M.A.

Title

Owner

Phone

(573) 778-0500

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 28, 2009.

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256688000000",
    "number": "1982930749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 S WESTWOOD BLVD",
            "address_2": "SUITE 5",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639016108",
            "telephone_number": "573-778-0500",
            "fax_number": "573-778-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 S WESTWOOD BLVD",
            "address_2": "SUITE 5",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639016108",
            "telephone_number": "573-778-0500",
            "fax_number": "573-778-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN CHIROPRACTIC WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-28",
        "last_updated": "2009-10-28",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-778-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., F.I.A.M.A."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MO",
            "license": "CE 6097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NPI NUMBER",
            "identifier": "1902020068",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mohanad Ali Alfaqih, M.D
• Ali Ahsan Ali, MD
• All-Stat Portable Mo LLC
• All-Stat Portable Mo LLC
• Lindsay Allbritton, FNP
• Cheryl Cornell Allen, NP
• Larry Todd Allen, L.P.C.
• Laurie M Allen, DC
• Alliance in Home Care Services LLC
• Alliance Rehab and Medical Equipment

• All providers in Poplar Bluff, MO
• Health Service Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.