Provider Demographics
NPI:1003849373
Name:ALLEMAN, ALLEN CHARLES (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:CHARLES
Last Name:ALLEMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:34616 11TH PL S
Mailing Address - Street 2:STE #4
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-8705
Mailing Address - Country:US
Mailing Address - Phone:253-927-9460
Mailing Address - Fax:253-927-2168
Practice Address - Street 1:34616 11TH PL S
Practice Address - Street 2:STE #4
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-8705
Practice Address - Country:US
Practice Address - Phone:253-927-9460
Practice Address - Fax:253-927-2168
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2012-01-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WA15576207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1228808Medicaid
WA42502OtherL&I
WA1228808Medicaid
WAA03964Medicare UPIN