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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104891217 NPPES
Florida MEDICAID 886160900
Florida MEDICAID 000469100

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