Allen, Marc
Allen, Marc is an individual health care provider with primary practice located at 36000 Euclid Ave , Willoughby OH 44094. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Allen, Marc can be contacted via phone (440) 953-6203.Contact Information
Primary practice address
36000 Euclid Ave
Willoughby OH 44094
Phone: (440) 953-6203
Fax: (440) 953-6202
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 34003337B | Ohio |
Profile Details
| NPI number | 1407817380 |
|---|---|
| LBN Legal business name | Allen, Marc |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2006 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407817380 | NPPES |
| Ohio | MEDICAID | 0575668 |
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