Allen, Daniel Jude

Allen, Daniel Jude is an individual health care provider with primary practice located at 381 S Middleton Rd Ste B , Middleton ID 83644-5369. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Allen, Daniel Jude can be contacted via phone (208) 585-6311.

Contact Information

Primary practice address
381 S Middleton Rd Ste B Middleton ID 83644-5369
Phone: (208) 585-6311
Fax: (208) 585-6221
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X O-0387 Idaho
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X O-387 Idaho

Profile Details

NPI number 1720017247
LBN Legal business name Allen, Daniel Jude
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Jan 26th, 2022 - 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 1720017247 NPPES
Idaho MEDICAID 806904100

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