Allen, Phillip Glenn
Allen, Phillip Glenn is an individual health care provider with primary practice located at 4950 Essen Ln Suite A, Baton Rouge LA 70809-3738. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Allen, Phillip Glenn can be contacted via phone (225) 765-1765.Contact Information
Primary practice address
4950 Essen Ln Suite A
Baton Rouge LA 70809-3738
Phone: (225) 765-1765
Fax: (225) 765-1768
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 050863 | Georgia |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 050863 | Georgia |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 205859 | Louisiana |
Profile Details
| NPI number | 1538150701 |
|---|---|
| LBN Legal business name | Allen, Phillip Glenn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 4th, 2005 |
| Last updated | Dec 30th, 2020 - about 4 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 | 1538150701 | NPPES |
| Georgia | MEDICAID | 000953994A | |
| Georgia | MEDICAID | 01173018 | |
| Georgia | MEDICAID | 2348191 |
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