Provider Demographics
NPI:1134262470
Name:ALLMAND, JACQUES EUGENE (DC)
Entity type:Individual
Prefix:DR
First Name:JACQUES
Middle Name:EUGENE
Last Name:ALLMAND
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 E 17TH ST STE B
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92627-7706
Mailing Address - Country:US
Mailing Address - Phone:949-722-1699
Mailing Address - Fax:714-963-5979
Practice Address - Street 1:140 E 17TH ST STE B
Practice Address - Street 2:
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92627-7706
Practice Address - Country:US
Practice Address - Phone:949-722-1699
Practice Address - Fax:714-963-5979
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC24269111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician