Allen, Ehren L.
Allen, Ehren L. is an individual health care provider with primary practice located at 4308 Hanover Park Dr , Jacksonville FL 32224-8602. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Allen, Ehren L. can be contacted via phone (904) 955-3103.Contact Information
Primary practice address
4308 Hanover Park Dr
Jacksonville FL 32224-8602
Phone: (904) 955-3103
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT19154 | Florida |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X | EXEMPT | Florida |
Profile Details
NPI number | 1104891217 |
---|---|
LBN Legal business name | Allen, Ehren L. |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 22nd, 2006 |
Last updated | May 20th, 2013 - about 12 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 | 1104891217 | NPPES |
Florida | MEDICAID | 886160900 | |
Florida | MEDICAID | 000469100 |
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