Allen, Madeline Richmond

Allen, Madeline Richmond is an individual health care provider with primary practice located at 4301 W Markham St # 556 , Little Rock AR 72205-7101. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Allen, Madeline Richmond can be contacted via phone (501) 686-6124.

Contact Information

Primary practice address
4301 W Markham St # 556 Little Rock AR 72205-7101
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-755 Arkansas

Profile Details

NPI number 1467993600
LBN Legal business name Allen, Madeline Richmond
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2017
Last updated Mar 30th, 2022 - about 3 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 1467993600 NPPES
Arkansas MEDICAID PA-755

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