Allen, Reginald A
Allen, Reginald A is an individual health care provider with primary practice located at 201 Magnolia Ave Sw , Winter Haven FL 33880. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Allen, Reginald A can be contacted via phone (863) 293-6375.Contact Information
Primary practice address
201 Magnolia Ave Sw
Winter Haven FL 33880
Phone: (863) 293-6375
Fax: (863) 293-8877
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 036069997 | Illinois |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | ME57508 | Florida |
Profile Details
| NPI number | 1306842240 |
|---|---|
| LBN Legal business name | Allen, Reginald A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2005 |
| Last updated | Jun 20th, 2014 - about 10 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 | 1306842240 | NPPES |
| Florida | MEDICAID | 277900500 | |
| Florida | MEDICAID | 036069997 |
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