Lareau, Allan R

Lareau, Allan R is an individual health care provider with primary practice located at 2680 W Centre Ave , Portage MI 49024-4828. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Lareau, Allan R can be contacted via phone (269) 324-2400.

Contact Information

Primary practice address
2680 W Centre Ave Portage MI 49024-4828
Phone: (269) 324-2400
Fax: (269) 324-0450
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301035589 Michigan

Profile Details

NPI number 1922078575
LBN Legal business name Lareau, Allan R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Oct 16th, 2014 - about 10 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 1922078575 NPPES
Michigan Other 1417961137 BCBSM - BMH
Michigan MEDICAID 1922078575 BCBSM - BMH
Michigan MEDICAID 4467350 BCBSM - BMH
Michigan MEDICAID 3205128 BCBSM - BMH

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