Allen, Michael Dale

Allen, Michael Dale is an individual health care provider with primary practice located at 3704 North Blvd Suite 1, Alexandria LA 71301-3606. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Allen, Michael Dale can be contacted via phone (318) 442-8399.

Contact Information

Primary practice address
3704 North Blvd Suite 1 Alexandria LA 71301-3606
Phone: (318) 442-8399
Fax: (318) 448-9897
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 11265R Louisiana
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 11265R Louisiana

Profile Details

NPI number 1487652707
LBN Legal business name Allen, Michael Dale
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated May 9th, 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 1487652707 NPPES
Louisiana MEDICAID 1664243
Louisiana Other 300082907

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