Allen, Scott D
Allen, Scott D is an individual health care provider with primary practice located at 2300 E 30Th St Ste 105, Farmington NM 87401-8990. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Allen, Scott D can be contacted via phone (505) 327-0406.Contact Information
Primary practice address
2300 E 30Th St Ste 105
Farmington NM 87401-8990
Phone: (505) 327-0406
Fax: (505) 326-4691
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 95-172 | New Mexico |
Profile Details
| NPI number | 1275590754 |
|---|---|
| LBN Legal business name | Allen, Scott D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2006 |
| Last updated | May 28th, 2008 - 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 | 1275590754 | NPPES |
| New Mexico | Other | NM003476 | BCBS # |
| New Mexico | Other | 180038671 | BCBS # |
| New Mexico | Other | 3441 | BCBS # |
| New Mexico | MEDICAID | T9815 | BCBS # |
| New Mexico | Other | PROVP11233 | BCBS # |
| New Mexico | Other | 201000176 | BCBS # |
| New Mexico | Other | 8504657687401A003WES | BCBS # |
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