Allen, Jeffrey B

Allen, Jeffrey B is an individual health care provider with primary practice located at 3640 Colonel Glenn Hwy , Dayton OH 45435-0001. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Allen, Jeffrey B can be contacted via phone (937) 254-9210.

Contact Information

Primary practice address
3640 Colonel Glenn Hwy Dayton OH 45435-0001
Phone: (937) 254-9210
Fax: (937) 254-9267
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 5299 Ohio

Profile Details

NPI number 1578564951
LBN Legal business name Allen, Jeffrey B
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Jul 8th, 2007 - about 17 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 1578564951 NPPES
Ohio MEDICAID 2216328

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