Provider Demographics
NPI:1285184572
Name:ALLEN, WILLIAM
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:
Last Name:ALLEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1245 E COLFAX AVE
Mailing Address - Street 2:SUITE-#200
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-2238
Mailing Address - Country:US
Mailing Address - Phone:303-955-1988
Mailing Address - Fax:303-955-1717
Practice Address - Street 1:1245 E COLFAX AVE
Practice Address - Street 2:SUITE-#200
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-2238
Practice Address - Country:US
Practice Address - Phone:303-955-1988
Practice Address - Fax:303-955-1717
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-11
Last Update Date:2016-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment