Allen, Jamison D
Allen, Jamison D is an sole proprietor health care provider with primary practice located at 2560 Hauser Ross Dr Suite 450, Sycamore IL 60178-3150. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Allen, Jamison D can be contacted via phone (703) 964-8199.Contact Information
Primary practice address
2560 Hauser Ross Dr Suite 450
Sycamore IL 60178-3150
Phone: (703) 964-8199
Fax: (815) 478-3070
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036098973 | Illinois |
Profile Details
| NPI number | 1184614760 |
|---|---|
| LBN Legal business name | Allen, Jamison D |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 25th, 2005 |
| Last updated | Jul 14th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184614760 | NPPES |
| Illinois | MEDICAID | 036098973 |
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