Ingenito, Allan Phillip

Ingenito, Allan Phillip is an individual health care provider with primary practice located at 3833 Coon Rapids Blvd Nw Suite 100, Coon Rapids MN 55433-2697. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Ingenito, Allan Phillip can be contacted via phone (763) 427-8320.

Contact Information

Primary practice address
3833 Coon Rapids Blvd Nw Suite 100 Coon Rapids MN 55433-2697
Phone: (763) 427-8320
Fax: (763) 302-4338
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 29584 Minnesota
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 29584 Minnesota

Profile Details

NPI number 1124068770
LBN Legal business name Ingenito, Allan Phillip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Mar 19th, 2019 - 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 1124068770 NPPES
Minnesota Other 07691IN BCBS OF MN
Minnesota Other 130005768 BCBS OF MN
Minnesota MEDICAID 162078900 BCBS OF MN
Minnesota Other 30709400 BCBS OF MN
Minnesota Other 0265011 BCBS OF MN
Minnesota Other HP13588 BCBS OF MN
Minnesota Other 0509674 BCBS OF MN
Minnesota Other 100289C029 BCBS OF MN
Minnesota Other 22676 BCBS OF MN

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