Allen, Eric Andrew
Allen, Eric Andrew is an sole proprietor health care provider with primary practice located at 1519 3Rd St Se Ste 101 , Puyallup WA 98372-3742. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Allen, Eric Andrew can be contacted via phone (253) 838-7980.Contact Information
Primary practice address
1519 3Rd St Se Ste 101
Puyallup WA 98372-3742
Phone: (253) 838-7980
Fax: (253) 874-0885
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | P000000690 | Washington |
Profile Details
NPI number | 1336233402 |
---|---|
LBN Legal business name | Allen, Eric Andrew |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 3rd, 2006 |
Last updated | May 22nd, 2023 - about last year |
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 | 1336233402 | NPPES |
Washington | MEDICAID | 8322943 | |
Washington | Other | 0158886 |
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