Allen, Larry Todd

Allen, Larry Todd is an individual health care provider with primary practice located at 2725 N Westwood Blvd Suite 5A, Poplar Bluff MO 63901-2346. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Allen, Larry Todd can be contacted via phone (573) 785-0333.

Contact Information

Primary practice address
2725 N Westwood Blvd Suite 5A Poplar Bluff MO 63901-2346
Phone: (573) 785-0333
Fax: (573) 785-0333
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 002436 Missouri

Profile Details

NPI number 1053376467
LBN Legal business name Allen, Larry Todd
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated May 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053376467 NPPES
Missouri Other 1053376467 UNITED HEALTHCARE
Missouri Other 000000443672 UNITED HEALTHCARE
Missouri MEDICAID 1053376467 UNITED HEALTHCARE
Missouri Other 1053376467 UNITED HEALTHCARE

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