Allen, Racquel Simone

Allen, Racquel Simone is an individual health care provider with primary practice located at 1145 Sturgis Road , Twentynine Palms CA 92278-8275. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Allen, Racquel Simone can be contacted via phone (760) 830-2117.

Contact Information

Primary practice address
1145 Sturgis Road Twentynine Palms CA 92278-8275
Phone: (760) 830-2117
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101262969 Virginia

Profile Details

NPI number 1184080855
LBN Legal business name Allen, Racquel Simone
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2016
Last updated Oct 5th, 2022 - about 3 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 1184080855 NPPES
Virginia Other 0101262969 MEDICAL LICENSE

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