Allen, Gary G.

Allen, Gary G. is an individual health care provider with primary practice located at 101 E Brunson St Suite 200, Enterprise AL 36330-2526. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Allen, Gary G. can be contacted via phone (334) 393-3686.

Contact Information

Primary practice address
101 E Brunson St Suite 200 Enterprise AL 36330-2526
Phone: (334) 393-3686
Fax: (334) 393-3686
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 11425 Alabama

Profile Details

NPI number 1972596849
LBN Legal business name Allen, Gary G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2005
Last updated Dec 2nd, 2009 - about 17 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 1972596849 NPPES
Alabama MEDICAID 000036206
Alabama Other 51036206

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