Allen, Chris

Allen, Chris is an sole proprietor health care provider with primary practice located at 5345 Highway 18 W , Jackson MS 39209-9421. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist, which is considered as his primary health care specialty. Allen, Chris can be contacted via phone (601) 927-0188.

Contact Information

Primary practice address
5345 Highway 18 W Jackson MS 39209-9421
Phone: (601) 927-0188
Fax: (601) 292-7998
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist 225800000X 26049 Mississippi

Profile Details

NPI number 1598425605
LBN Legal business name Allen, Chris
Credentials CMHT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 30th, 2021
Last updated Dec 30th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598425605 NPPES
Mississippi MEDICAID 02551264

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