Mckinnon, Allan B

Mckinnon, Allan B is an individual health care provider with primary practice located at 55 John A Cummings Way , Woonsocket RI 02895-3247. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Mckinnon, Allan B can be contacted via phone (401) 235-7000.

Contact Information

Primary practice address
55 John A Cummings Way Woonsocket RI 02895-3247
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCDCS00190 Rhode Island
Behavioral Health & Social Service Providers / Counselor 101Y00000X PC225 Rhode Island

Profile Details

NPI number 1073604757
LBN Legal business name Mckinnon, Allan B
Credentials LCDP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Nov 24th, 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 1073604757 NPPES
Rhode Island MEDICAID AM40912

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