Ettenger, Allen Belo

Ettenger, Allen Belo is an individual health care provider with primary practice located at 1227 Warm Springs Ave J. C. Blair Medical Building, Ste. 301, Huntingdon PA 16652-2300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Ettenger, Allen Belo can be contacted via phone (814) 643-8574.

Contact Information

Primary practice address
1227 Warm Springs Ave J. C. Blair Medical Building, Ste. 301 Huntingdon PA 16652-2300
Phone: (814) 643-8574
Fax: (814) 643-8659
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X MD033218 Pennsylvania

Profile Details

NPI number 1497702104
LBN Legal business name Ettenger, Allen Belo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2006
Last updated Jul 1st, 2011 - about 14 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 1497702104 NPPES
Pennsylvania MEDICAID 0010017640005

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