Allen, Jeffrey W.

Allen, Jeffrey W. is an individual health care provider with primary practice located at 4121 Dutchmans Ln Ste 503, Louisville KY 40207-4707. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Allen, Jeffrey W. can be contacted via phone (502) 899-6405.

Contact Information

Primary practice address
4121 Dutchmans Ln Ste 503 Louisville KY 40207-4707
Phone: (502) 899-6405
Fax: (502) 899-6407
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 31266 Kentucky

Profile Details

NPI number 1174502728
LBN Legal business name Allen, Jeffrey W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Dec 31st, 2020 - 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 1174502728 NPPES
Kentucky Other 1115726 PASSPORT
Kentucky Other 000026447Y PASSPORT
Kentucky Other 00533145 PASSPORT
Kentucky MEDICAID 200260900A PASSPORT
Kentucky MEDICAID 64312663 PASSPORT

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