Allen, Ronald L

Allen, Ronald L is an sole proprietor health care provider with primary practice located at 4060 N Main St , Racine WI 53402-3121. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Allen, Ronald L can be contacted via phone (262) 752-2020.

Contact Information

Primary practice address
4060 N Main St Racine WI 53402-3121
Phone: (262) 752-2020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 26907-020 Wisconsin

Profile Details

NPI number 1518967470
LBN Legal business name Allen, Ronald L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2005
Last updated Feb 24th, 2009 - about 15 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 1518967470 NPPES
Wisconsin Other 1014080001 ADMINASTAR-DMERC
Wisconsin MEDICAID 31447000 ADMINASTAR-DMERC

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