Provider Demographics
NPI:1326808056
Name:HARPER, ALLEN WAYNE
Entity Type:Individual
Prefix:
First Name:ALLEN
Middle Name:WAYNE
Last Name:HARPER
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 1:2738 WOODRUFF AVE APT 4
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48912-4456
Mailing Address - Country:US
Mailing Address - Phone:151-770-6153
Mailing Address - Fax:
Practice Address - Street 1:333 N WAVERLY RD
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48917-2846
Practice Address - Country:US
Practice Address - Phone:517-706-1539
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-20
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health