Allen, Mary T

Allen, Mary T is an individual health care provider with primary practice located at 9510 Ormsby Station Rd Ste 100 , Louisville KY 40223-4082. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Allen, Mary T can be contacted via phone (502) 327-1000.

Contact Information

Primary practice address
9510 Ormsby Station Rd Ste 100 Louisville KY 40223-4082
Phone: (502) 327-1000
Fax: (855) 632-8329
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3005543 Kentucky

Profile Details

NPI number 1912178781
LBN Legal business name Allen, Mary T
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2008
Last updated Sep 28th, 2018 - about 6 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 1912178781 NPPES
Other 12166430 CAQH
MEDICAID 7100150970 CAQH

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