Allen, Charles

Allen, Charles is an sole proprietor health care provider with primary practice located at 2321 Troost Ave Ste 101 , Kansas City MO 64108-2834. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Clinical Ethicist, Ambulatory Health Care Facilities / Ambulatory Surgical. Ambulatory Health Care Facilities / Ambulatory Surgical is his primary health care specialty. Allen, Charles can be contacted via phone (816) 200-2409.

Contact Information

Primary practice address
2321 Troost Ave Ste 101 Kansas City MO 64108-2834
Fax: (816) 320-0028
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Clinical Ethicist 174V00000X 1427617729 Georgia
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 1427617729 Georgia

Profile Details

NPI number 1275285751
LBN Legal business name Allen, Charles
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2022
Last updated Dec 21st, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275285751 NPPES
Missouri MEDICAID 2301
Missouri Other 417

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