Allen, Jason C

Allen, Jason C is an individual health care provider with primary practice located at 1701 N Stockton Hill Rd Suite D, Kingman AZ 86401-6600. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Allen, Jason C can be contacted via phone (928) 753-4500.

Contact Information

Primary practice address
1701 N Stockton Hill Rd Suite D Kingman AZ 86401-6600
Phone: (928) 753-4500
Fax: (928) 753-2220
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 0641 Arizona
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 0641 Arizona

Profile Details

NPI number 1215997069
LBN Legal business name Allen, Jason C
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Aug 2nd, 2011 - about 13 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 1215997069 NPPES
Arizona MEDICAID 094601

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