Dean, Eric Allen
Dean, Eric Allen is an individual health care provider with primary practice located at 16230 Summerlin Rd Ste 215 , Fort Myers FL 33908-5769. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is his primary health care specialty. Dean, Eric Allen can be contacted via phone (239) 343-7474.Contact Information
Primary practice address
16230 Summerlin Rd Ste 215
Fort Myers FL 33908-5769
Phone: (239) 343-7474
Fax: (239) 343-4185
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | OS19040 | Florida |
Profile Details
NPI number | 1215382023 |
---|---|
LBN Legal business name | Dean, Eric Allen |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 29th, 2016 |
Last updated | Aug 5th, 2022 - about 3 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 | 1215382023 | NPPES |
Florida | MEDICAID | 114724100 |
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