Salem, Allen J

Salem, Allen J is an sole proprietor health care provider with primary practice located at 2442 E. 25Th St. , Idaho Falls ID 83404-0000. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Salem, Allen J can be contacted via phone (208) 552-4909.

Contact Information

Primary practice address
2442 E. 25Th St. Idaho Falls ID 83404-0000
Phone: (208) 552-4909
Fax: (940) 612-3636
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X K9165 Texas
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X K9165 Texas
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X K9165 Texas

Profile Details

NPI number 1992797088
LBN Legal business name Salem, Allen J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2005
Last updated Nov 22nd, 2011 - about 15 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 1992797088 NPPES
Texas Other 0033HG BCBS
Texas Other 0033HGT BCBS
Texas MEDICAID 042379003 BCBS

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