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Contact Information

JOHN ALLEN
86 W SALT MINE RD
CAMP VERDE, AZ86322-7013
 Phone: 888-873-4221
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for JOHN ALLEN · (Male)

NPI Number 1225406325
Status Active
Credentials
Entity Individual
Enumeration date 09/04/2015
Last updated 09/04/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 3927
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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