Deam, Allen Gregory

Deam, Allen Gregory is an individual health care provider with primary practice located at 3950 Kresge Way Ste 303 , Louisville KY 40207-4637. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Deam, Allen Gregory can be contacted via phone (502) 928-0900.

Contact Information

Primary practice address
3950 Kresge Way Ste 303 Louisville KY 40207-4637
Phone: (502) 928-0900
Fax: (502) 928-0901
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 30384 Kentucky
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 30384 Kentucky

Profile Details

NPI number 1285634683
LBN Legal business name Deam, Allen Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Dec 3rd, 2020 - about 5 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 1285634683 NPPES
Kentucky MEDICAID 64303845

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