Allen, John S
Allen, John S is an sole proprietor health care provider with primary practice located at 450B Washington Jackson Rd Ste 105, Eaton OH 45320-7601. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Allen, John S can be contacted via phone (937) 456-8350.Contact Information
Primary practice address
450B Washington Jackson Rd Ste 105
Eaton OH 45320-7601
Phone: (937) 456-8350
Fax: (937) 456-8351
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 50.002462 | Ohio |
Profile Details
NPI number | 1790953255 |
---|---|
LBN Legal business name | Allen, John S |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 18th, 2008 |
Last updated | Jan 17th, 2019 - about 6 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 | 1790953255 | NPPES |
Ohio | MEDICAID | 0098696 |
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