Allen, Nicolas J.

Allen, Nicolas J. is an individual health care provider with primary practice located at 703 S Americana Blvd Ste 120, Boise ID 83702-5099. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Allen, Nicolas J. can be contacted via phone (208) 323-2600.

Contact Information

Primary practice address
703 S Americana Blvd Ste 120 Boise ID 83702-5099
Phone: (208) 323-2600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA644 Idaho

Profile Details

NPI number 1205910551
LBN Legal business name Allen, Nicolas J.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Nov 10th, 2012 - 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 1205910551 NPPES
Idaho Other PAD82 BLUE CROSS MERIDIAN
Idaho Other 000010159170 BLUE CROSS MERIDIAN
Idaho Other 000010159171 BLUE CROSS MERIDIAN

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