Allen, Robert John
Allen, Robert John is an individual health care provider with primary practice located at 829 Chief Eddie Hoffman Highway , Bethel AK 99559-0528. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Allen, Robert John can be contacted via phone (907) 543-6255.Contact Information
Primary practice address
829 Chief Eddie Hoffman Highway
Bethel AK 99559-0528
Phone: (907) 543-6255
Fax: (907) 543-6393
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 467 | Alaska |
| Dental Providers / General Practice | 1223G0001X | 12007131A | Indiana |
Profile Details
| NPI number | 1295959997 |
|---|---|
| LBN Legal business name | Allen, Robert John |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2007 |
| 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 | 1295959997 | NPPES |
| Alaska | MEDICAID | DD0467 |
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