Allen, John David
Allen, John David is an sole proprietor health care provider with primary practice located at 140 Allen Court , North Augusta SC 29860-1101. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Allen, John David can be contacted via phone (803) 510-0007.Contact Information
Primary practice address
140 Allen Court
North Augusta SC 29860-1101
Phone: (803) 510-0007
Fax: (803) 510-0144
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 025091 | Georgia |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 28313 | South Carolina |
Profile Details
| NPI number | 1386628907 |
|---|---|
| LBN Legal business name | Allen, John David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 6th, 2005 |
| Last updated | Sep 14th, 2023 - about 2 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 | 1386628907 | NPPES |
| South Carolina | MEDICAID | G25091 | |
| South Carolina | MEDICAID | GPA917 | |
| South Carolina | MEDICAID | 000477969E |
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