Allen, Richard John

Allen, Richard John is an individual health care provider with primary practice located at 930 Blue Star Hwy , South Haven MI 49090-7758. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Allen, Richard John can be contacted via phone (269) 637-1115.

Contact Information

Primary practice address
930 Blue Star Hwy South Haven MI 49090-7758
Phone: (269) 637-1115
Fax: (269) 639-1314
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 039538 Michigan

Profile Details

NPI number 1538271184
LBN Legal business name Allen, Richard John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Feb 2nd, 2018 - about 8 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 1538271184 NPPES
Michigan Other 5441103 AETNA
Michigan MEDICAID 1606511 AETNA
Michigan Other 080H06004 AETNA
Michigan Other P53522 AETNA
Michigan Other 0131166 AETNA
Michigan Other 080027373 AETNA

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