Allen, Mark Daniel

Allen, Mark Daniel is an sole proprietor health care provider with primary practice located at 1400 Willow Lane , Manchester TN 37355. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Allen, Mark Daniel can be contacted via phone (615) 500-4048.

Contact Information

Primary practice address
1400 Willow Lane Manchester TN 37355
Phone: (615) 500-4048
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN 7976 Tennessee

Profile Details

NPI number 1932187507
LBN Legal business name Allen, Mark Daniel
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2006
Last updated Sep 14th, 2011 - about 13 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 1932187507 NPPES
Other 4032629 BCBS
MEDICAID 3303612 BCBS

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