Allen, Misty

Allen, Misty is an individual health care provider with primary practice located at 4022 Liberty St , Milan TN 38358-3453. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Allen, Misty can be contacted via phone (731) 686-9744.

Contact Information

Primary practice address
4022 Liberty St Milan TN 38358-3453
Phone: (731) 686-9744
Fax: (731) 613-2245
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 41832 Tennessee
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 41832 Tennessee

Profile Details

NPI number 1801950225
LBN Legal business name Allen, Misty
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated May 17th, 2023 - about last year

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 1801950225 NPPES
Tennessee Other 4153428 BLUE CROSS BLUE SHIELD
Tennessee MEDICAID 103I088826 BLUE CROSS BLUE SHIELD
Tennessee MEDICAID 3832640 BLUE CROSS BLUE SHIELD
Tennessee Other 4146351 BLUE CROSS BLUE SHIELD
Tennessee Other 4146345 BLUE CROSS BLUE SHIELD

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