Rafael, Allen
Rafael, Allen is an individual health care provider with primary practice located at 2500 Ne Neff Rd , Bend OR 97701-6015. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Rafael, Allen can be contacted via phone (541) 388-1636.Contact Information
Primary practice address
2500 Ne Neff Rd
Bend OR 97701-6015
Phone: (541) 388-1636
Fax: (541) 388-1719
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | MD167662 | Oregon |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD167662 | Oregon |
Profile Details
| NPI number | 1962408526 |
|---|---|
| LBN Legal business name | Rafael, Allen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2005 |
| Last updated | Apr 17th, 2020 - about 4 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 | 1962408526 | NPPES |
| Arizona | Other | 1Z5940 | HEALTHNET |
| Arizona | Other | 060064202 | HEALTHNET |
| Arizona | MEDICAID | 566408 | HEALTHNET |
| Arizona | Other | 25-00516 | HEALTHNET |
| Arizona | Other | AZ0886040 | HEALTHNET |
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