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:
Health care specialties
Specialty | Code | License # | 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 6 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 | 1497844765 | NPPES |
Indiana | Other | 26197001 | MEDICARE PTAN |
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