Allen, Grant R

Allen, Grant R is an individual health care provider with primary practice located at 635 W College St , Florence AL 35630-5313. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Allen, Grant R can be contacted via phone (256) 764-3431.

Contact Information

Primary practice address
635 W College St Florence AL 35630-5313
Phone: (256) 764-3431
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 24600 Alabama

Profile Details

NPI number 1700894714
LBN Legal business name Allen, Grant R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Jul 5th, 2024 - about 4 months 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 1700894714 NPPES
Alabama Other 513-05147 BCBS
Alabama MEDICAID 318488 BCBS
Alabama MEDICAID 317560 BCBS

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