Allen, George David
Allen, George David is an sole proprietor health care provider with primary practice located at 1062 Maple Dr Ste 1 , Morgantown WV 26505-0809. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Allen, George David can be contacted via phone (304) 599-5751.Contact Information
Primary practice address
1062 Maple Dr Ste 1
Morgantown WV 26505-0809
Phone: (304) 599-5751
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 725 | West Virginia |
Profile Details
NPI number | 1205859006 |
---|---|
LBN Legal business name | Allen, George David |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 25th, 2006 |
Last updated | Apr 26th, 2010 - about 15 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 | 1205859006 | NPPES |
West Virginia | MEDICAID | 0165165000 | |
West Virginia | Other | 000132232 |
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