Allen, Brent T
Allen, Brent T is an individual health care provider with primary practice located at 555 N New Ballas Rd Div Surg Vascular, Ste 265, Saint Louis MO 63141-6825. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Allen, Brent T can be contacted via phone (314) 991-4644.Contact Information
Primary practice address
555 N New Ballas Rd Div Surg Vascular, Ste 265
Saint Louis MO 63141-6825
Phone: (314) 991-4644
Fax: (866) 342-0133
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | R2B05 | Missouri |
Profile Details
| NPI number | 1770513319 |
|---|---|
| LBN Legal business name | Allen, Brent T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Apr 25th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770513319 | NPPES |
| Missouri | MEDICAID | 202398723 |
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