Allen, Stan D

Allen, Stan D is an individual health care provider with primary practice located at 1739 E Beverly Ave Ste 102 , Kingman AZ 86409-3593. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Allen, Stan D can be contacted via phone (928) 681-8693.

Contact Information

Primary practice address
1739 E Beverly Ave Ste 102 Kingman AZ 86409-3593
Fax: (928) 681-8694
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 3239 Arizona

Profile Details

NPI number 1629043740
LBN Legal business name Allen, Stan D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Dec 18th, 2012 - about 12 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 1629043740 NPPES
Arizona MEDICAID 392548

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