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JACK E ALLEN M.D., NPI 1215939459

Family Medicine in LOUISVILLE, KY

Last Updated on : Oct 19,2007

About JACK E ALLEN (NPI 1215939459)


JACK E ALLEN is a Family Medicine provider in LOUISVILLE, United States. His medical specialization is Family Medicine .

1215939459 is NPI number of JACK E ALLEN.

JACK E ALLEN's primary taxonomy code based on NPI Lookup is 207Q00000X with license number 22210. This taxonomy code refers to Family Medicine.

JACK E ALLEN has more than 16 years of experience.

JACK E ALLEN current practice location address is 1169 EASTERN PKWY, LOUISVILLE, KY. JACK E ALLEN can be reached out via phone at 502-456-4100 and via fax at 502-459-8454 .

You can also correspond with JACK E ALLEN through mail at mailing address 1169 EASTERN PKWY, LOUISVILLE, KY, United States. Mailing address contact number is 502-456-4100.

The enumeration date of JACK E ALLEN is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 15 years ago.

1215939459 NPI Information

Name JACK E ALLEN
National Provider Id (NPI) 1215939459
Entity Type Individual
Gender M
Credential M.D.
Practice Address 1169 EASTERN PKWY, STE 1111
LOUISVILLE, KY, United States
Practice Telephone 502-456-4100
Practice Fax Number 502-459-8454
Mailing Address 1169 EASTERN PKWY , STE 1111
LOUISVILLE, KY, United States
Mailing Telephone 502-456-4100
Mailing Fax Number 502-459-8454
Enumeration Date 01-Jun-2005
Last Updated Date 19-Oct-2007

JACK E ALLEN (NPI 1215939459) Primary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
Y 207Q00000X Family Medicine 22210 KY

Additional Identifiers

Identifier Type/Code Identifier State Identifier Issuer
000000051865 Other (non-Medicare) (01) KY BC BS
0570102 MEDICARE PIN (08) KY
080135037 Other (non-Medicare) (01) KY RR Medicare
1049568 Other (non-Medicare) (01) KY Passport
2432579000 Other (non-Medicare) (01) KY Passport Advantage
2756968 Other (non-Medicare) (01) KY Cigna
4295618 Other (non-Medicare) (01) KY Aetna
64222102 MEDICAID (05) KY
C69068 MEDICARE UPIN (02) KY

JACK E ALLEN (NPI 1215939459) Office Location

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1801029822 SOUTHEAST ALABAMA REGIONAL HEALTHCARE AUTHORITY Clinic/Center, Primary Care 31 RAILROAD STREET,
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1477102390 PAMELA GRACE BAKER Nurse Practitioner, Family 31 RAILROAD ST,
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1215405337 BRITTANY FORBES Behavior Technician 114 BLUE SPRINGS RD,
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1811192586 JOHNA GAYLE COTTON Nurse Practitioner, Pediatrics 31 RAILROAD ST,
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1932769106 QUEST COUNSELING AGENCY, LLC Counselor, Mental Health 76 VICTORIA ST,
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1760100804 SOUTHEAST ALABAMA YOUTH SERVICES, INC Counselor, Professional 2856 HORACE SHEPARD DR,
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1487730412 LOUISVILLE FIRE AND RESCUE Emergency Medical Technician, Basic 1951 MAIN STR.,
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1720476401 JENNIFER HALL Social Worker, Clinical 303 LAFAYETTE ST,
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1043784143 KELLY LOVELY Physical Therapist 80 HEALTH PARK DR STE 200,
LOUISVILLE, CO, United States
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1205475670 MIRANDA CHRISTINE WHITLEY Physical Medicine & Rehabilitation 850 W MOORHEAD CIR APT 3J,
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1760460216 KAREN L STASIAK Nurse Practitioner, Neonatal 100 HEALTH PARK DR,
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1235890799 SARA GREEN Pharmacist 382 OWL DR,
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1891268462 KAITLIN QUINN Physical Therapist 315 W SOUTH BOULDER RD STE 100,
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1801557202 LABORATORY CORPORATION OF AMERICA Clinical Medical Laboratory PO BOX 2240,
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1881051035 ELIZABETH M KILMER-STERLING Advanced Practice Midwife 2742 STORM MOUNTAIN DRIVE, PO BOX 68
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19-Jan-2016
1053828350 LAUREN NUNN Dental Hygienist 877 E SOUTH BOULDER RD,
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08-Jan-2018
1659844124 VIRGINIA ARNETTE Physical Therapist 275 CENTURY CIR STE 103,
LOUISVILLE, CO, United States
08-Jan-2019

FAQs

Whose NPI Number is 1215939459?

1215939459 is the NPI number of JACK E ALLEN.

What is the specialty for JACK E ALLEN?

The Specialty of JACK E ALLEN is Family Medicine.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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