Allen, Carly Rae

Allen, Carly Rae is an individual health care provider with primary practice located at 5165 Mccarty Ln , Lafayette IN 47905. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Allen, Carly Rae can be contacted via phone (586) 665-6500.

Contact Information

Primary practice address
5165 Mccarty Ln Lafayette IN 47905
Phone: (586) 665-6500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 02007318A Indiana

Profile Details

NPI number 1033772587
LBN Legal business name Allen, Carly Rae
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2019
Last updated Nov 22nd, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033772587 NPPES
Indiana Other 264430H71 MEDICARE PTAN
Indiana MEDICAID 300079318 MEDICARE PTAN

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