Allen, Roger Dean
Allen, Roger Dean is an individual health care provider with primary practice located at 301 E Church St , Elizabeth City NC 27909-4805. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Allen, Roger Dean can be contacted via phone (252) 338-8821.Contact Information
Primary practice address
301 E Church St
Elizabeth City NC 27909-4805
Phone: (252) 338-8821
Fax: (252) 338-8821
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | HSPP0954 | North Carolina |
Profile Details
| NPI number | 1972594869 |
|---|---|
| LBN Legal business name | Allen, Roger Dean |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Oct 26th, 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 | 1972594869 | NPPES |
| North Carolina | Other | 94483 | MEDCOST |
| North Carolina | Other | 03119 | MEDCOST |
| North Carolina | MEDICAID | 6000148 | MEDCOST |
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