Allen, Maryellon
Allen, Maryellon is an individual health care provider with primary practice located at 6322 Highway 182 E , Morgan City LA 70380-2038. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Allen, Maryellon can be contacted via phone (985) 702-1220.Contact Information
Primary practice address
6322 Highway 182 E
Morgan City LA 70380-2038
Phone: (985) 702-1220
Fax: (985) 702-9715
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 15521R | Louisiana |
Profile Details
| NPI number | 1396745907 |
|---|---|
| LBN Legal business name | Allen, Maryellon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2005 |
| Last updated | Apr 14th, 2021 - about 5 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 | 1396745907 | NPPES |
| Louisiana | MEDICAID | 1464368 |
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