Allen, Diane E
Allen, Diane E is an individual health care provider with primary practice located at 4340 Shasta Dam Blvd , Shasta Lake CA 96019-9420. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Allen, Diane E can be contacted via phone (530) 275-3077.Contact Information
Primary practice address
4340 Shasta Dam Blvd
Shasta Lake CA 96019-9420
Phone: (530) 275-3077
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 26802 | California |
Profile Details
| NPI number | 1457337248 |
|---|---|
| LBN Legal business name | Allen, Diane E |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2005 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457337248 | NPPES |
| California | Other | 26802 | LICENSE NUMBER |
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