Allen, Richard D
Allen, Richard D is an individual health care provider with primary practice located at 14000 Fairview Dr , Burnsville MN 55337-5713. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Allen, Richard D can be contacted via phone (952) 993-8700.Contact Information
Primary practice address
14000 Fairview Dr
Burnsville MN 55337-5713
Phone: (952) 993-8700
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 24227 | Minnesota |
Profile Details
NPI number | 1780661462 |
---|---|
LBN Legal business name | Allen, Richard D |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 23rd, 2005 |
Last updated | Oct 20th, 2011 - about 13 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 | 1780661462 | NPPES |
Minnesota | MEDICAID | 780200500 |
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