Allen, Walton Ray
Allen, Walton Ray is an sole proprietor health care provider with primary practice located at 140 Main Cross Street , Hawesville KY 42348. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Allen, Walton Ray can be contacted via phone (270) 927-6045.Contact Information
Primary practice address
140 Main Cross Street
Hawesville KY 42348
Phone: (270) 927-6045
Fax: (270) 927-9341
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5538 | Kentucky |
Profile Details
| NPI number | 1730238130 |
|---|---|
| LBN Legal business name | Allen, Walton Ray |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730238130 | NPPES |
| Kentucky | MEDICAID | 60055381 |
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