Allen, Richard Michael

Allen, Richard Michael is an sole proprietor health care provider with primary practice located at 1630 23Rd Ave Suite 1001, Lewiston ID 83501-6350. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Allen, Richard Michael can be contacted via phone (208) 743-3688.

Contact Information

Primary practice address
1630 23Rd Ave Suite 1001 Lewiston ID 83501-6350
Phone: (208) 743-3688
Fax: (208) 743-5162
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X P-143 Idaho

Profile Details

NPI number 1093717787
LBN Legal business name Allen, Richard Michael
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2005
Last updated Nov 7th, 2007 - about 17 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 1093717787 NPPES
Idaho MEDICAID 0027887
Idaho Other 000010015686
Idaho Other P9186

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