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Contact Information

MICHAEL ALLEN, PAC
620 SHADOW LN
LAS VEGAS, NV89106-4119
 Phone: 702-388-4500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MICHAEL ALLEN · (Male)

NPI # 1073783999
Status Active
Credentials PAC
Entity Individual
Enumeration date 03/06/2008
Last updated 08/02/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CO License # PA.0003633
  • NV License # PA1104
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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