Allen, Georgia Carol

Allen, Georgia Carol is an individual health care provider with primary practice located at 365 Tuolumne St , Vallejo CA 94590-5700. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Allen, Georgia Carol can be contacted via phone (707) 553-5509.

Contact Information

Primary practice address
365 Tuolumne St Vallejo CA 94590-5700
Phone: (707) 553-5509
Fax: (707) 553-5658
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X K7497 Texas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 20A6109 California

Profile Details

NPI number 1508844796
LBN Legal business name Allen, Georgia Carol
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2006
Last updated Jun 18th, 2015 - about 11 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 1508844796 NPPES
Texas Other 8DB606 BCBS
Texas MEDICAID 045035506 BCBS

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