Allen, Eustace
Allen, Eustace is an sole proprietor health care provider with primary practice located at 1160 Eastern Pkwy , Brooklyn NY 11213-6152. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Allen, Eustace can be contacted via phone (718) 756-1309.Contact Information
Primary practice address
1160 Eastern Pkwy
Brooklyn NY 11213-6152
Phone: (718) 756-1309
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | N004866 | New York |
Profile Details
| NPI number | 1366514911 |
|---|---|
| LBN Legal business name | Allen, Eustace |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Oct 27th, 2016 - about 9 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 | 1366514911 | NPPES |
| New York | MEDICAID | 01345058 |
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