Allen, Jeffrey Frank

Allen, Jeffrey Frank is an individual health care provider with primary practice located at 839 Broadway , Pella IA 50219. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Allen, Jeffrey Frank can be contacted via phone (641) 628-1121.

Contact Information

Primary practice address
839 Broadway Pella IA 50219
Phone: (641) 628-1121
Fax: (641) 620-1035
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7227 Iowa

Profile Details

NPI number 1841373289
LBN Legal business name Allen, Jeffrey Frank
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2006
Last updated Jul 8th, 2007 - about 18 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 1841373289 NPPES
Iowa Other 24843 BLUE CROSS BLUE SHIELD
Iowa Other 969500 BLUE CROSS BLUE SHIELD
Iowa MEDICAID 1138305 BLUE CROSS BLUE SHIELD

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