Allen, David L

Allen, David L is an individual health care provider with primary practice located at 85 N Grand Ave , Fort Thomas KY 41075-1793. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Allen, David L can be contacted via phone (859) 572-3617.

Contact Information

Primary practice address
85 N Grand Ave Fort Thomas KY 41075-1793
Phone: (859) 572-3617
Fax: (859) 572-2366
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 02001495A Indiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 02473 Kentucky

Profile Details

NPI number 1366460602
LBN Legal business name Allen, David L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated May 23rd, 2022 - about 2 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 1366460602 NPPES
Kentucky MEDICAID 64024730
Kentucky Other 000000535507
Kentucky MEDICAID 200058460
Kentucky MEDICAID 2126765

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