Allen, Jeremy W
Allen, Jeremy W is an individual health care provider with primary practice located at 908 W 5Th St Suite 114, London KY 40741-2417. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Allen, Jeremy W can be contacted via phone (606) 330-0330.Contact Information
Primary practice address
908 W 5Th St Suite 114
London KY 40741-2417
Phone: (606) 330-0330
Fax: (606) 877-8836
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 8365 | Kentucky |
Profile Details
| NPI number | 1386774057 |
|---|---|
| LBN Legal business name | Allen, Jeremy W |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 6th, 2007 |
| Last updated | Sep 9th, 2011 - about 15 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 | 1386774057 | NPPES |
| Kentucky | MEDICAID | 60004306 |
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