Allen, Doris J
Allen, Doris J is an individual health care provider with primary practice located at 406 N Ashley St , Ann Arbor MI 48103-3308. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is her primary health care specialty. Allen, Doris J can be contacted via phone (734) 998-9640.Contact Information
Primary practice address
406 N Ashley St
Ann Arbor MI 48103-3308
Phone: (734) 998-9640
Fax: (734) 998-9647
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 2901015212 | Michigan |
Dental Providers / General Practice | 1223G0001X | 2901015212 | Michigan |
Profile Details
NPI number | 1811021603 |
---|---|
LBN Legal business name | Allen, Doris J |
Credentials | DDS MPH |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 15th, 2007 |
Last updated | Jul 9th, 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 | 1811021603 | NPPES |
Michigan | MEDICAID | 4124033 | |
Michigan | Other | D152120 |
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