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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316042310 NPPES
Louisiana Other 5D652 MEDICARE GRP#
Louisiana Other 11518259 MEDICARE GRP#
Louisiana MEDICAID 1959651 MEDICARE GRP#

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