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Contact Information

NICOLE C ALLEN
611 N ALMOND ST
CARBONDALE, IL62901-1307
 Phone: 618-559-4539
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Recreation Therapist

225800000X
Indicates primary specialty

NPI Profile & details for NICOLE C ALLEN · (Female)

NPI # 1437631744
Status Active
Credentials
Entity Individual
Enumeration date 09/04/2018
Last updated 09/04/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers Not Available
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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