Allen, Nancy A

Allen, Nancy A is an individual health care provider with primary practice located at 400 Foote Ave , Jamestown NY 14701-6800. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Allen, Nancy A can be contacted via phone (716) 484-9194.

Contact Information

Primary practice address
400 Foote Ave Jamestown NY 14701-6800
Phone: (716) 484-9194
Fax: (716) 484-0115
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 199070 New York

Profile Details

NPI number 1124089818
LBN Legal business name Allen, Nancy A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated May 11th, 2012 - about 12 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 1124089818 NPPES
New York Other 040426003830 FIDELIS CARE
New York Other 000524873001 FIDELIS CARE
New York Other 00010304601 FIDELIS CARE
New York MEDICAID 01746794 FIDELIS CARE

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