Allen, Desiree Juanita
Allen, Desiree Juanita is an sole proprietor health care provider with primary practice located at 496 Quail Crest Dr , Collierville TN 38017-1750. She recently has only one registered license in Transportation Services / Non-emergency Medical Transport (VAN), which is considered as her primary health care specialty. Allen, Desiree Juanita can be contacted via phone (617) 824-0421.Contact Information
Primary practice address
496 Quail Crest Dr
Collierville TN 38017-1750
Phone: (617) 824-0421
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Transportation Services / Non-emergency Medical Transport (VAN) | 343900000X | Tennessee |
Profile Details
| NPI number | 1821710690 |
|---|---|
| LBN Legal business name | Allen, Desiree Juanita |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 16th, 2022 |
| Last updated | Mar 20th, 2023 - about last year |
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 | 1821710690 | NPPES |
| Tennessee | MEDICAID | 220006017 | |
| Tennessee | Other | 220006017 |
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