Allen, Derrick L

Allen, Derrick L is an individual health care provider with primary practice located at 600 Trent Street , Princeton WV 24740. He recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Personal Care Attendant, Nursing Service Related Providers / Homemaker. Nursing Service Related Providers / Personal Care Attendant is his primary health care specialty. Allen, Derrick L can be contacted via phone (304) 425-7111.

Contact Information

Primary practice address
600 Trent Street Princeton WV 24740
Phone: (304) 425-7111
Fax: (304) 425-1138
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X 1568796027 West Virginia
Nursing Service Related Providers / Personal Care Attendant 3747P1801X
Nursing Service Related Providers / Homemaker 376J00000X 1568796027 West Virginia

Profile Details

NPI number 1679171144
LBN Legal business name Allen, Derrick L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2020
Last updated Dec 14th, 2021 - 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 1679171144 NPPES
West Virginia MEDICAID 55-6025355

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