Allen, Shannen K.

Allen, Shannen K. is an individual health care provider with primary practice located at 15005 Shady Grove Rd. Ste 100, Rockville MD 20850-6341. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Allen, Shannen K. can be contacted via phone (301) 279-9696.

Contact Information

Primary practice address
15005 Shady Grove Rd. Ste 100 Rockville MD 20850-6341
Phone: (301) 279-9696
Fax: (301) 251-5454
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X D0064522 Maryland

Profile Details

NPI number 1407876360
LBN Legal business name Allen, Shannen K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jul 7th, 2011 - about 14 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 1407876360 NPPES
Maryland MEDICAID 547371100

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