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
Phone: (816) 200-2409
Fax: (816) 320-0028
Website:
Health care specialties
Specialty | Code | License # | 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 2 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 | 1275285751 | NPPES |
Missouri | MEDICAID | 2301 | |
Missouri | Other | 417 |
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