Allen, Michael R
Allen, Michael R is an sole proprietor health care provider with primary practice located at 2209 Shed Rd , Bossier City LA 71111-3637. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Allen, Michael R can be contacted via phone (318) 747-6100.Contact Information
Primary practice address
2209 Shed Rd
Bossier City LA 71111-3637
Phone: (318) 747-6100
Fax: (318) 742-3005
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 500 | Louisiana |
Profile Details
| NPI number | 1316042310 |
|---|---|
| LBN Legal business name | Allen, Michael R |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 2006 |
| Last updated | Jul 30th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316042310 | NPPES |
| Louisiana | Other | 5D652 | MEDICARE GRP# |
| Louisiana | Other | 11518259 | MEDICARE GRP# |
| Louisiana | MEDICAID | 1959651 | MEDICARE GRP# |
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