Allen, Seth R

Allen, Seth R is an individual health care provider with primary practice located at 1300 E Bradford Pkwy , Springfield MO 65804-4264. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Allen, Seth R can be contacted via phone (417) 761-5000.

Contact Information

Primary practice address
1300 E Bradford Pkwy Springfield MO 65804-4264
Fax: (417) 761-5011
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2007033978 Missouri

Profile Details

NPI number 1407036254
LBN Legal business name Allen, Seth R
Credentials EDD, LP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2007
Last updated Mar 18th, 2021 - about 4 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 1407036254 NPPES
Missouri Other 13759877 CAQH

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