Allen, David C

Allen, David C is an individual health care provider with primary practice located at 801 Pole Line Rd W Suite 3880, Twin Falls ID 83301-5810. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Allen, David C can be contacted via phone (208) 814-8500.

Contact Information

Primary practice address
801 Pole Line Rd W Suite 3880 Twin Falls ID 83301-5810
Fax: (208) 734-4143
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X M6460 Idaho

Profile Details

NPI number 1225045693
LBN Legal business name Allen, David C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Dec 4th, 2014 - about 10 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 1225045693 NPPES
Idaho MEDICAID 002607700

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