Allen, Corey Lee

Allen, Corey Lee is an individual health care provider with primary practice located at 200 W Cedar Ave , Gladwin MI 48624-2020. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Allen, Corey Lee can be contacted via phone (989) 426-6341.

Contact Information

Primary practice address
200 W Cedar Ave Gladwin MI 48624-2020
Phone: (989) 426-6341
Fax: (989) 426-6411
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2901019185 Michigan

Profile Details

NPI number 1053400267
LBN Legal business name Allen, Corey Lee
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Jul 8th, 2007 - about 19 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 1053400267 NPPES
Michigan MEDICAID 4867549

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