Doctor, Allan
Doctor, Allan is an individual health care provider with primary practice located at 22 S Greene St Ste G4K400 , Baltimore MD 21201-1544. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Anesthesiology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is his primary health care specialty. Doctor, Allan can be contacted via phone (410) 328-6957.Contact Information
Primary practice address
22 S Greene St Ste G4K400
Baltimore MD 21201-1544
Phone: (410) 328-6957
Fax: (410) 328-0680
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Anesthesiology | 207LP3000X | 2006031510 | Missouri |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2006031510 | Missouri |
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 2006031510 | Missouri |
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | D88326 | Maryland |
Profile Details
| NPI number | 1659450484 |
|---|---|
| LBN Legal business name | Doctor, Allan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2006 |
| Last updated | Jan 6th, 2020 - about 4 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 | 1659450484 | NPPES |
| Missouri | MEDICAID | 204914402 | |
| Missouri | MEDICAID | 502384000 | |
| Missouri | MEDICAID | ENROLLED |
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