Allen, Marguerite A
Allen, Marguerite A is an sole proprietor health care provider with primary practice located at 110 Stockton St Ste M , Statesville NC 28677-5253. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Allen, Marguerite A can be contacted via phone (980) 446-0004.Contact Information
Primary practice address
110 Stockton St Ste M
Statesville NC 28677-5253
Phone: (980) 446-0004
Fax: (980) 272-0446
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LC1675 | Maryland |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 7551 | North Carolina |
Profile Details
| NPI number | 1427031392 |
|---|---|
| LBN Legal business name | Allen, Marguerite A |
| Credentials | D.MIN, LCMHCS, LCASA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 23rd, 2005 |
| Last updated | Jun 18th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427031392 | NPPES |
| Maryland | MEDICAID | 000990300 | |
| Maryland | MEDICAID | 6104321 |
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