Provider Demographics
NPI:1891106902
Name:ALLAN, STEVEN JR (NP)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:ALLAN
Suffix:JR
Gender:M
Credentials:NP
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:601 JOHN ST
Mailing Address - Street 2:M-206 A
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49007-5341
Mailing Address - Country:US
Mailing Address - Phone:269-488-8355
Mailing Address - Fax:269-488-8356
Practice Address - Street 1:601 JOHN ST
Practice Address - Street 2:SUITE 206A
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49007-5341
Practice Address - Country:US
Practice Address - Phone:269-488-8355
Practice Address - Fax:269-488-8356
Is Sole Proprietor?:No
Enumeration Date:2014-05-12
Last Update Date:2014-10-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4704219613363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health