Allen, Racquel Simone
Allen, Racquel Simone is an individual health care provider with primary practice located at 1145 Sturgis Road , Twentynine Palms CA 92278-8275. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Allen, Racquel Simone can be contacted via phone (760) 830-2117.Contact Information
Primary practice address
1145 Sturgis Road
Twentynine Palms CA 92278-8275
Phone: (760) 830-2117
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0101262969 | Virginia |
Profile Details
| NPI number | 1184080855 |
|---|---|
| LBN Legal business name | Allen, Racquel Simone |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2016 |
| Last updated | Oct 5th, 2022 - about 2 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 | 1184080855 | NPPES |
| Virginia | Other | 0101262969 | MEDICAL LICENSE |
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