Allen, Larry James
Allen, Larry James is an sole proprietor health care provider with primary practice located at 103 Grand Ave Sw , Fort Payne AL 35967-1915. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Allen, Larry James can be contacted via phone (256) 845-0231.Contact Information
Primary practice address
103 Grand Ave Sw
Fort Payne AL 35967-1915
Phone: (256) 845-0231
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | S 494 TA 004 | Alabama |
Profile Details
| NPI number | 1497846877 |
|---|---|
| LBN Legal business name | Allen, Larry James |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Jun 6th, 2008 - about 16 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 | 1497846877 | NPPES |
| Alabama | MEDICAID | 000059724 | |
| Alabama | Other | 51059724 |
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