Allen, John Alex

Allen, John Alex is an sole proprietor health care provider with primary practice located at 709 Breedlove Dr , Monroe GA 30655-2055. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Allen, John Alex can be contacted via phone (678) 635-3500.

Contact Information

Primary practice address
709 Breedlove Dr Monroe GA 30655-2055
Phone: (678) 635-3500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 27598 South Carolina
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 27598 South Carolina
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 052330 Georgia

Profile Details

NPI number 1922002815
LBN Legal business name Allen, John Alex
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2005
Last updated Jul 8th, 2024 - about 5 months 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 1922002815 NPPES
South Carolina Other AA77689636 MEDICARE
South Carolina MEDICAID 003142497D MEDICARE
South Carolina MEDICAID 275981 MEDICARE
South Carolina MEDICAID 052330 MEDICARE

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