Allen, Jeffry
Allen, Jeffry is an individual health care provider with primary practice located at 3948 Ben Walters Ln , Homer AK 99603-7708. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Allen, Jeffry can be contacted via phone (907) 235-7701.Contact Information
Primary practice address
3948 Ben Walters Ln
Homer AK 99603-7708
Phone: (907) 235-7701
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
NPI number | 1447842380 |
---|---|
LBN Legal business name | Allen, Jeffry |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 10th, 2021 |
Last updated | Feb 10th, 2021 - about 3 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 | 1447842380 | NPPES |
Alaska | MEDICAID | 1020987 |
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