Allen, William Bruce

Allen, William Bruce is an individual health care provider with primary practice located at 6350 W Andrew Johnson Hwy , Talbott TN 37877-8605. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Allen, William Bruce can be contacted via phone (423) 587-7337.

Contact Information

Primary practice address
6350 W Andrew Johnson Hwy Talbott TN 37877-8605
Phone: (423) 587-7337
Fax: (423) 586-0614
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X P1350 Tennessee

Profile Details

NPI number 1326047408
LBN Legal business name Allen, William Bruce
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Nov 28th, 2017 - about 7 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 1326047408 NPPES
Tennessee MEDICAID 3688539

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