Provider Demographics
NPI:1437249703
Name:PIRKLE, ALLEN CHAPMAN (MD)
Entity Type:Individual
Prefix:
First Name:ALLEN
Middle Name:CHAPMAN
Last Name:PIRKLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 KELOBRA CT
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-2706
Mailing Address - Country:US
Mailing Address - Phone:925-939-5389
Mailing Address - Fax:925-945-4939
Practice Address - Street 1:150 KELOBRA CT
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-2706
Practice Address - Country:US
Practice Address - Phone:925-939-5389
Practice Address - Fax:925-945-4939
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG6352207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA57503Medicare UPIN