Atheras, Allen J
Atheras, Allen J is an individual health care provider with primary practice located at 2211 Route 88 E , Brick NJ 08724-3229. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Atheras, Allen J can be contacted via phone (732) 899-0015.Contact Information
Primary practice address
2211 Route 88 E
Brick NJ 08724-3229
Phone: (732) 899-0015
Fax: (732) 899-0061
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | MD002045 | New Jersey |
| Podiatric Medicine & Surgery Service Providers / Sports Medicine | 213ES0000X | MD002045 | New Jersey |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | MD002045 | New Jersey |
Profile Details
| NPI number | 1508830142 |
|---|---|
| LBN Legal business name | Atheras, Allen J |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2006 |
| Last updated | May 6th, 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 | 1508830142 | NPPES |
| New Jersey | Other | 2K5454 | HEALTHNET |
| New Jersey | MEDICAID | 5083001 | HEALTHNET |
| New Jersey | Other | P00139173 | HEALTHNET |
| New Jersey | Other | VS101 | HEALTHNET |
| New Jersey | Other | 60006001 | HEALTHNET |
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