Allen, Richard Warren

Allen, Richard Warren is an individual health care provider with primary practice located at 2525 W Greenway Rd Ste 125 , Phoenix AZ 85023-4226. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Allen, Richard Warren can be contacted via phone (480) 640-0513.

Contact Information

Primary practice address
2525 W Greenway Rd Ste 125 Phoenix AZ 85023-4226
Phone: (480) 640-0513
Fax: (602) 532-7997
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2336 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 3336 Arizona

Profile Details

NPI number 1710005426
LBN Legal business name Allen, Richard Warren
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2007
Last updated Sep 1st, 2020 - about 5 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 1710005426 NPPES
Arizona Other 2336 LICENSE
Arizona MEDICAID 698092 LICENSE

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