Allen, David James

Allen, David James is an individual health care provider with primary practice located at 770 Converse St , Longmeadow MA 01106-1719. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Allen, David James can be contacted via phone (413) 567-3949.

Contact Information

Primary practice address
770 Converse St Longmeadow MA 01106-1719
Fax: (413) 567-0175
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 214932 Massachusetts

Profile Details

NPI number 1144240292
LBN Legal business name Allen, David James
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jul 8th, 2007 - about 17 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 1144240292 NPPES
Massachusetts MEDICAID 0355810

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