Caudill, Allan D

Caudill, Allan D is an individual health care provider with primary practice located at 940 Blue Star Hwy , South Haven MI 49090-7758. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Caudill, Allan D can be contacted via phone (269) 639-2893.

Contact Information

Primary practice address
940 Blue Star Hwy South Haven MI 49090-7758
Phone: (269) 639-2893
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101235364 Virginia
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301050127 Michigan

Profile Details

NPI number 1346224086
LBN Legal business name Caudill, Allan D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Feb 23rd, 2023 - about 2 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 1346224086 NPPES
Virginia MEDICAID 010011795

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