Allen, Marvin R

Allen, Marvin R is an individual health care provider with primary practice located at 1055 N 500 W Suite 101, Provo UT 84604-3305. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Allen, Marvin R can be contacted via phone (801) 373-4366.

Contact Information

Primary practice address
1055 N 500 W Suite 101 Provo UT 84604-3305
Phone: (801) 373-4366
Fax: (801) 429-8191
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 339476-1205 Utah

Profile Details

NPI number 1831154566
LBN Legal business name Allen, Marvin R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Nov 27th, 2023 - about last year

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 1831154566 NPPES
Utah Other 311142 DMBA
Utah Other 870281028AL1 DMBA
Utah Other 44358 DMBA
Utah Other 25-00139 DMBA
Utah Other 10242 DMBA
Utah MEDICAID 870281028000 DMBA
Utah Other 060042587 DMBA
Utah Other QM0000001423 DMBA

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