Allen, Joseph David
Allen, Joseph David is an individual health care provider with primary practice located at 836 Prudential Dr Suite 801, Jacksonville FL 32207-8334. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Allen, Joseph David can be contacted via phone (904) 288-0433.Contact Information
Primary practice address
836 Prudential Dr Suite 801
Jacksonville FL 32207-8334
Phone: (904) 288-0433
Fax: (904) 288-8996
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA9100669 | Florida |
Profile Details
NPI number | 1063416550 |
---|---|
LBN Legal business name | Allen, Joseph David |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 13th, 2005 |
Last updated | Jul 3rd, 2013 - about 12 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 | 1063416550 | NPPES |
Florida | MEDICAID | 290895600 |
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