Provider Demographics
NPI:1528142528
Name:ALLERTON, JULIA ANN (DC)
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:ANN
Last Name:ALLERTON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 S TOWNSHIP RD
Mailing Address - Street 2:PO BOX 350
Mailing Address - City:PATASKALA
Mailing Address - State:OH
Mailing Address - Zip Code:43062-8952
Mailing Address - Country:US
Mailing Address - Phone:740-927-7026
Mailing Address - Fax:740-927-4713
Practice Address - Street 1:30 S TOWNSHIP RD
Practice Address - Street 2:
Practice Address - City:PATASKALA
Practice Address - State:OH
Practice Address - Zip Code:43062-8952
Practice Address - Country:US
Practice Address - Phone:740-927-7026
Practice Address - Fax:740-927-4713
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2381111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHJU9329831Medicare ID - Type UnspecifiedBILLING/GROUP #
OHALO817303Medicare ID - Type UnspecifiedINDIVIDUAL #