Allen, Michael D

Allen, Michael D is an individual health care provider with primary practice located at 1509 State St , La Porte IN 46350-3115. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Allen, Michael D can be contacted via phone (219) 326-5700.

Contact Information

Primary practice address
1509 State St La Porte IN 46350-3115
Phone: (219) 326-5700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 01060205A Indiana

Profile Details

NPI number 1578517520
LBN Legal business name Allen, Michael D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Dec 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578517520 NPPES
Indiana MEDICAID 200947140

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