Allen, Georgia Carol
Allen, Georgia Carol is an individual health care provider with primary practice located at 365 Tuolumne St , Vallejo CA 94590-5700. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Allen, Georgia Carol can be contacted via phone (707) 553-5509.Contact Information
Primary practice address
365 Tuolumne St
Vallejo CA 94590-5700
Phone: (707) 553-5509
Fax: (707) 553-5658
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | K7497 | Texas |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 20A6109 | California |
Profile Details
NPI number | 1508844796 |
---|---|
LBN Legal business name | Allen, Georgia Carol |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 6th, 2006 |
Last updated | Jun 18th, 2015 - 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 | 1508844796 | NPPES |
Texas | Other | 8DB606 | BCBS |
Texas | MEDICAID | 045035506 | BCBS |
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