Allen, Christian Frederick

Allen, Christian Frederick is an individual health care provider with primary practice located at 677 Church St Ne , Marietta GA 30060-1101. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant. Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant is his primary health care specialty. Allen, Christian Frederick can be contacted via phone (770) 794-0477.

Contact Information

Primary practice address
677 Church St Ne Marietta GA 30060-1101
Phone: (770) 794-0477
Fax: (770) 794-3108
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 002844 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 2844 Georgia

Profile Details

NPI number 1720060122
LBN Legal business name Allen, Christian Frederick
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2005
Last updated Jun 17th, 2020 - about 4 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 1720060122 NPPES
Georgia MEDICAID 640402698A
Georgia MEDICAID 491431789A

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