Allen, Larry

Allen, Larry is an individual health care provider with primary practice located at 2600 Greenwood Rd , Shreveport LA 71103-3908. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Allen, Larry can be contacted via phone (972) 664-6963.

Contact Information

Primary practice address
2600 Greenwood Rd Shreveport LA 71103-3908
Phone: (972) 664-6963
Fax: (770) 237-4731
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X F3707 Texas
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 07083R Louisiana

Profile Details

NPI number 1437211935
LBN Legal business name Allen, Larry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated Apr 10th, 2008 - about 18 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 1437211935 NPPES
Louisiana MEDICAID 1900664

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