Provider Demographics
NPI:1003101015
Name:ALLEN, AARON S (RCP)
Entity Type:Individual
Prefix:MR
First Name:AARON
Middle Name:S
Last Name:ALLEN
Suffix:
Gender:M
Credentials:RCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2870 S MARYLAND PKWY.
Mailing Address - Street 2:SUITE 230
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89109-1548
Mailing Address - Country:US
Mailing Address - Phone:702-893-3333
Mailing Address - Fax:702-893-0960
Practice Address - Street 1:4640 W CRAIG ROAD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89032-2743
Practice Address - Country:US
Practice Address - Phone:702-839-0091
Practice Address - Fax:702-839-0095
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-17
Last Update Date:2014-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA299492278G1100X
NVRC22192278G1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278G1100XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedGeneral Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1702161Medicaid
NVDU0139OtherRAILROAD MEDICARE
NVGC779AMedicare PIN
NVGG318AMedicare PIN
NVCCN294507Medicare PIN