Allen, Tempest A

Allen, Tempest A is an individual health care provider with primary practice located at 3300 W Centre Ave , Portage MI 49024-4666. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Allen, Tempest A can be contacted via phone (269) 327-2211.

Contact Information

Primary practice address
3300 W Centre Ave Portage MI 49024-4666
Phone: (269) 327-2211
Fax: (269) 327-0273
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4301075879 Michigan

Profile Details

NPI number 1699755207
LBN Legal business name Allen, Tempest A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Oct 30th, 2014 - about 10 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 1699755207 NPPES
Michigan MEDICAID 4432603
Michigan MEDICAID 1699755207
Michigan MEDICAID 4218238
Michigan Other CB9054
Michigan Other 1235131137

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