Basic Information
| Provider Information | |||||||||
| NPI: | 1467472985 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ALLEMAN | ||||||||
| FirstName: | VON | ||||||||
| MiddleName: | W | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | DC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 147 W 400 N | ||||||||
| Address2: | |||||||||
| City: | OREM | ||||||||
| State: | UT | ||||||||
| PostalCode: | 840574658 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8012219060 | ||||||||
| FaxNumber: | 8012219071 | ||||||||
| Practice Location | |||||||||
| Address1: | 147 W 400 N | ||||||||
| Address2: | |||||||||
| City: | OREM | ||||||||
| State: | UT | ||||||||
| PostalCode: | 840574658 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8012219060 | ||||||||
| FaxNumber: | 8012219071 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/20/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 111N00000X | 176265-1202 | UT | Y | Chiropractic Providers | Chiropractor |
ID Information
| ID | Type | State | Issuer | Description | 870395551AL1 | 01 | UT | EMIA- CHP | OTHER | 107001667101 | 01 | UT | IHC | OTHER | P00082870 | 01 | UT | RAILROAD MEDICARE | OTHER | QM0000024316 | 01 | UT | CHP- ALTIUS | OTHER | 234962 | 01 | UT | DMBA-CHP | OTHER | 60054 | 01 | UT | AETNA | OTHER | 870395551005 | 05 | UT | MEDICAID |