Northern, Allen E.
Northern, Allen E. is an individual health care provider with primary practice located at 1601 N Bishop Ave , Rolla MO 65401-2249. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Northern, Allen E. can be contacted via phone (573) 364-8100.Contact Information
Primary practice address
1601 N Bishop Ave
Rolla MO 65401-2249
Phone: (573) 364-8100
Fax: (573) 341-9475
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | R5474 | Missouri |
Profile Details
| NPI number | 1609912443 |
|---|---|
| LBN Legal business name | Northern, Allen E. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 29th, 2007 |
| Last updated | Jul 14th, 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 | 1609912443 | NPPES |
| Missouri | MEDICAID | 240146126 |
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