Allen, John Wynn

Allen, John Wynn is an sole proprietor health care provider with primary practice located at 2755 Herndon Ave , Clovis CA 93611-6800. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Allen, John Wynn can be contacted via phone (559) 324-4000.

Contact Information

Primary practice address
2755 Herndon Ave Clovis CA 93611-6800
Phone: (559) 324-4000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X NA572 California

Profile Details

NPI number 1669428447
LBN Legal business name Allen, John Wynn
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 25th, 2006
Last updated Apr 19th, 2013 - about 11 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 1669428447 NPPES
California MEDICAID RN2929100
California Other NA572
California Other 430079068

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