Griffith, M Allan

Griffith, M Allan is an individual health care provider with primary practice located at 1701 East College Ave , Bloomington IL 61701. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Griffith, M Allan can be contacted via phone (309) 664-3000.

Contact Information

Primary practice address
1701 East College Ave Bloomington IL 61701
Phone: (309) 664-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036051930 Illinois
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 036051930 Illinois
Allopathic & Osteopathic Physicians / General Practice 208D00000X 036051930 Illinois

Profile Details

NPI number 1801826235
LBN Legal business name Griffith, M Allan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Apr 2nd, 2010 - 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 1801826235 NPPES
Illinois Other P00371726 RAILROAD
Illinois Other 0533210001 RAILROAD

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