Allen, Richard

Allen, Richard is an individual health care provider with primary practice located at 101 Dates Dr , Ithaca NY 14850-1342. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Allen, Richard can be contacted via phone (607) 274-4011.

Contact Information

Primary practice address
101 Dates Dr Ithaca NY 14850-1342
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 196066-1 New York
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 196066 New York

Profile Details

NPI number 1932207032
LBN Legal business name Allen, Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Mar 7th, 2023 - about last year

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 1932207032 NPPES
Other 930836 ABEM
MEDICAID 01498177 ABEM
Other 196066-1 ABEM

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