Allen, Bryan Joseph
Allen, Bryan Joseph is an individual health care provider with primary practice located at 2234 Colonial Blvd Attn: Payer Contracting & Relations, Fort Myers FL 33907-1412. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Allen, Bryan Joseph can be contacted via phone (239) 931-7342.Contact Information
Primary practice address
2234 Colonial Blvd Attn: Payer Contracting & Relations
Fort Myers FL 33907-1412
Phone: (239) 931-7342
Fax: (239) 931-7385
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Urology | 208800000X | ME120341 | Florida |
Profile Details
| NPI number | 1548586118 |
|---|---|
| LBN Legal business name | Allen, Bryan Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 8th, 2010 |
| Last updated | Mar 16th, 2017 - about 7 years ago |
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 | 1548586118 | NPPES |
| Florida | Other | 1192921 | WELLCARE |
| Florida | Other | P1033007 | WELLCARE |
| Florida | Other | P01796855 | WELLCARE |
| Florida | Other | 150JQ | WELLCARE |
| Florida | Other | 9438549 | WELLCARE |
| Florida | Other | P01520110 | WELLCARE |
| Florida | Other | P969301 | WELLCARE |
| Florida | MEDICAID | 015011500 | WELLCARE |
| Florida | Other | 4840869 | WELLCARE |
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