Provider Demographics
NPI:1760475834
Name:TROUPIN, ALLAN S (MD)
Entity Type:Individual
Prefix:
First Name:ALLAN
Middle Name:S
Last Name:TROUPIN
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 1:2139 WILDFLOWER WAY
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98229-5366
Mailing Address - Country:US
Mailing Address - Phone:360-738-8933
Mailing Address - Fax:360-738-8933
Practice Address - Street 1:2139 WILDFLOWER WAY
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98229-5366
Practice Address - Country:US
Practice Address - Phone:360-738-8933
Practice Address - Fax:360-738-8933
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000090912084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1887900Medicaid
WA1887900Medicaid
WAAB18068Medicare ID - Type Unspecified