Allen, Elaine

Allen, Elaine is an individual health care provider with primary practice located at 325 Four Leaf Ln Ste 11A , Charlottesville VA 22903-9203. She recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Radiology, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is her primary health care specialty. Allen, Elaine can be contacted via phone (434) 242-8550.

Contact Information

Primary practice address
325 Four Leaf Ln Ste 11A Charlottesville VA 22903-9203
Phone: (434) 242-8550
Fax: (434) 205-4637
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 000744 Georgia
Podiatric Medicine & Surgery Service Providers / Radiology 213ER0200X 000744 Georgia
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 000744 Georgia

Profile Details

NPI number 1417970492
LBN Legal business name Allen, Elaine
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Mar 17th, 2018 - about 6 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 1417970492 NPPES
Other 3641408 AETNA HMO
Other 393136 AETNA HMO
Other 5217840001 AETNA HMO
Other 4572029 AETNA HMO
MEDICAID 00698167D AETNA HMO
Other 323715 AETNA HMO
Other 0000163909413 AETNA HMO
Other P00240565 AETNA HMO

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