Allen, Jill B

Allen, Jill B is an individual health care provider with primary practice located at 500 N Thomas St , South Hill VA 23970-1421. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Allen, Jill B can be contacted via phone (434) 447-2300.

Contact Information

Primary practice address
500 N Thomas St South Hill VA 23970-1421
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101840390 Virginia

Profile Details

NPI number 1588652721
LBN Legal business name Allen, Jill B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Oct 31st, 2019 - 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 1588652721 NPPES
Virginia MEDICAID 010167949

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