Allen, Richard Derek

Allen, Richard Derek is an individual health care provider with primary practice located at 1201 S Miller St , Wenatchee WA 98801-3201. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Allen, Richard Derek can be contacted via phone (509) 665-6130.

Contact Information

Primary practice address
1201 S Miller St Wenatchee WA 98801-3201
Phone: (509) 665-6130
Fax: (509) 665-6052
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA10004806 Washington

Profile Details

NPI number 1508856410
LBN Legal business name Allen, Richard Derek
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Jul 14th, 2015 - about 9 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 1508856410 NPPES
Washington Other 289199 WVH LNI
Washington MEDICAID 1508856410 WVH LNI
Washington Other P01381482 WVH LNI

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