Allen, Daryl Matthew
Allen, Daryl Matthew is an sole proprietor health care provider with primary practice located at 205 N Grand Avenue West , Springfield IL 62702-2550. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Allen, Daryl Matthew can be contacted via phone (217) 525-2035.Contact Information
Primary practice address
205 N Grand Avenue West
Springfield IL 62702-2550
Phone: (217) 525-2035
Fax: (217) 525-2303
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 038010232 | Illinois |
Profile Details
| NPI number | 1740373513 |
|---|---|
| LBN Legal business name | Allen, Daryl Matthew |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Oct 20th, 2010 - about 14 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 | 1740373513 | NPPES |
| Other | 08432115 | BLUE CROSS |
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