Allen, Richard B

Allen, Richard B is an individual health care provider with primary practice located at 4632 S 25Th St , Fort Pierce FL 34981-5057. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngic Allergy, which is considered as his primary health care specialty. Allen, Richard B can be contacted via phone (772) 464-9595.

Contact Information

Primary practice address
4632 S 25Th St Fort Pierce FL 34981-5057
Phone: (772) 464-9595
Fax: (772) 464-9582
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngic Allergy 207YX0602X ME33479 Florida

Profile Details

NPI number 1124136155
LBN Legal business name Allen, Richard B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Jul 9th, 2010 - 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 1124136155 NPPES
Florida MEDICAID 255052100

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