Allen, Patrick D

Allen, Patrick D is an individual health care provider with primary practice located at 12 Stillwater Ave , Bangor ME 04401-3984. He recently has only one registered license in Dental Providers / Denturist, which is considered as his primary health care specialty. Allen, Patrick D can be contacted via phone (207) 941-6550.

Contact Information

Primary practice address
12 Stillwater Ave Bangor ME 04401-3984
Phone: (207) 941-6550
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Denturist 122400000X 5512 Maine

Profile Details

NPI number 1629203385
LBN Legal business name Allen, Patrick D
Credentials LD
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2009
Last updated May 26th, 2009 - about 17 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 1629203385 NPPES
Maine MEDICAID 433405199

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