Noble, Allen
Noble, Allen is an individual health care provider with primary practice located at 605 S Coolidge St , Moses Lake WA 98837-1893. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Noble, Allen can be contacted via phone (509) 765-0674.Contact Information
Primary practice address
605 S Coolidge St
Moses Lake WA 98837-1893
Phone: (509) 765-0674
Fax: (509) 765-6591
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA10005255 | Washington |
Profile Details
NPI number | 1669663597 |
---|---|
LBN Legal business name | Noble, Allen |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 6th, 2007 |
Last updated | Jun 1st, 2021 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1669663597 | NPPES |
Washington | MEDICAID | 1669663597 | |
Washington | Other | 0227809 | |
Washington | MEDICAID | 8497638 |
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