Allen, Stephen Paul

Allen, Stephen Paul is an individual health care provider with primary practice located at 1407 Garfield Ave , Harlan IA 51537-1822. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Allen, Stephen Paul can be contacted via phone (712) 755-3466.

Contact Information

Primary practice address
1407 Garfield Ave Harlan IA 51537-1822
Phone: (712) 755-3466
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6549 Iowa

Profile Details

NPI number 1053302950
LBN Legal business name Allen, Stephen Paul
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Jul 10th, 2008 - about 16 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 1053302950 NPPES
Iowa MEDICAID 0170437

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