Allen, Claire Johanna

Allen, Claire Johanna is an sole proprietor health care provider with primary practice located at 1905 Perrine St , Lafayette IN 47904-1447. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Allen, Claire Johanna can be contacted via phone (703) 498-8780.

Contact Information

Primary practice address
1905 Perrine St Lafayette IN 47904-1447
Phone: (703) 498-8780
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 28207451A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71013685A Indiana

Profile Details

NPI number 1609546845
LBN Legal business name Allen, Claire Johanna
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 19th, 2021
Last updated Jun 22nd, 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 1609546845 NPPES
Indiana Other 815500563 MEDICARE PTAN
Indiana MEDICAID 300073243 MEDICARE PTAN

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