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Contact Information

JOHN C ALLEN, DPM
2765 W STATE ST
BRISTOL, TN37620
 Phone: 423-764-2299
 Fax: 423-968-3340
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for JOHN C ALLEN · (Male)

NPI Number 1831269463
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 11/09/2006
Last updated 03/30/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • TN License # 580
  • TN License # DPM580
  • TN Medicaid 3353635
  • TN Medicaid 3353718
  • TN Other 7993366 AETNA
  • TN Other 4042165 BLUE CROSS
  • TN Other 480034380 RAILROAD MEDICARE
  • VA Other 385776 BLUE CROSS OF VA FOR TN PATIENTS
  • VA Other 404529 BLUE CROSS OF VIRGINIA
  • VA Other 480034380 RAILROAD MEDICARE
Hospital affiliation(s)
  • WELLMONT BRISTOL REGIONAL MEDICAL CENTER - (Acute Care)
    ONE MEDICAL PARK BLVD
    BRISTOL, TN 37620
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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