Allen, Marty

Allen, Marty is an individual health care provider with primary practice located at 1720 Nicholasville Rd Ste 602, Lexington KY 40503-1404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Allen, Marty can be contacted via phone (859) 277-4005.

Contact Information

Primary practice address
1720 Nicholasville Rd Ste 602 Lexington KY 40503-1404
Fax: (859) 278-2507
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 39516 Kentucky

Profile Details

NPI number 1639217391
LBN Legal business name Allen, Marty
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2007
Last updated Mar 14th, 2013 - about 12 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 1639217391 NPPES
Kentucky Other 000000703653 ANTHEM- NIS
Kentucky Other 000057119E ANTHEM- NIS
Kentucky Other 50031894 ANTHEM- NIS
Kentucky MEDICAID 7100008660 ANTHEM- NIS
Kentucky Other P00912388 ANTHEM- NIS
Kentucky MEDICAID 200868800 ANTHEM- NIS

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