Allen, James Timothy

Allen, James Timothy is an individual health care provider with primary practice located at 122 S Peterson Ave , Louisville KY 40206-2537. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Allen, James Timothy can be contacted via phone (502) 931-1592.

Contact Information

Primary practice address
122 S Peterson Ave Louisville KY 40206-2537
Phone: (502) 931-1592
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 22964 Kentucky
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 22964 Kentucky

Profile Details

NPI number 1497844765
LBN Legal business name Allen, James Timothy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated May 14th, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497844765 NPPES
Indiana Other 26197001 MEDICARE PTAN

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