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
Health care specialties
| Specialty | Code | License # | 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 | May 7th, 2025 - about last year |
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 | 1033772587 | NPPES |
| Indiana | MEDICAID | 300079318 | |
| Indiana | Other | 1103105712 |
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