Allen, Michelle Dewolf
Allen, Michelle Dewolf is an individual health care provider with primary practice located at 1220 S Higley Rd Suite 101, Mesa AZ 85206-4000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Allen, Michelle Dewolf can be contacted via phone (480) 615-2010.Contact Information
Primary practice address
1220 S Higley Rd Suite 101
Mesa AZ 85206-4000
Phone: (480) 615-2010
Fax: (480) 324-0950
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 3693 | Arizona |
Profile Details
| NPI number | 1902896590 |
|---|---|
| LBN Legal business name | Allen, Michelle Dewolf |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2005 |
| Last updated | Jun 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902896590 | NPPES |
| Arizona | MEDICAID | 611641 |
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