Bradley James Allen in Mahomet - Clinical
Bradley James Allen - NPI 1740483569
Bradley James Allen is a Clinical in Mahomet, Illinois. Bradley James Allen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Bradley James Allen is 1740483569. The last update date is 2012-09-26.
Bradley James Allen's current location address is 114 Karadan Dr, Mahomet, Illinois. You can contact this provider via phone number 2178402520. The mailing address for Bradley James Allen is 114 Karadan Dr, Mahomet, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley James Allen |
|---|---|
| Address | 114 Karadan Dr, Mahomet, Illinois |
| Phone Number | 2178402520 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1740483569 |
|---|---|
| Provider Enumeration Date | 2007-06-08 |
| Last Updated Date | 2012-09-26 |
Provider Mailing Address Detail
| Address | 114 Karadan Dr |
|---|---|
| City | Mahomet |
| State | Illinois (IL) |
| Post Code | 618533641 |
| Phone Number | 2178402520 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149-005946 |
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What is the unique identification code assigned to Bradley James Allen by the Centers for Medicare & Medicaid Services?
The Bradley James Allen has been issued the NPI (National Provider Identifier) 1740483569. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Bradley James Allen's physical address?
The Bradley James Allen is physically located at 114 Karadan Dr, in the city of Mahomet, IL, with the postal code 618533641.
What is Bradley James Allen's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Bradley James Allen is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1740483569 to Bradley James Allen?
The Centers for Medicare & Medicaid Services originally issued the 1740483569 to Bradley James Allen on 2007-06-08.
When was the information regarding Bradley James Allen most recently updated?
The details pertaining to the Bradley James Allen, including its address, specialty, and other relevant information, were last refreshed on 2012-09-26.