Allen, Madonna

Allen, Madonna is an individual health care provider with primary practice located at 1717 W Cowles St , Fairbanks AK 99701-5926. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Allen, Madonna can be contacted via phone (907) 451-6682.

Contact Information

Primary practice address
1717 W Cowles St Fairbanks AK 99701-5926
Phone: (907) 451-6682
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1922512128
LBN Legal business name Allen, Madonna
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2017
Last updated Nov 27th, 2017 - about 7 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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