Provider Demographics
NPI:1124050612
Name:GUEHL, ALLEN CHARLES (MD DPM)
Entity type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:CHARLES
Last Name:GUEHL
Suffix:
Gender:M
Credentials:MD DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 ASPEN WOODS DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGBORO
Mailing Address - State:OH
Mailing Address - Zip Code:45066-9464
Mailing Address - Country:US
Mailing Address - Phone:937-313-9888
Mailing Address - Fax:855-482-2337
Practice Address - Street 1:145 ASPEN WOODS DR
Practice Address - Street 2:
Practice Address - City:SPRINGBORO
Practice Address - State:OH
Practice Address - Zip Code:45066-9464
Practice Address - Country:US
Practice Address - Phone:937-313-9888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36003114G213E00000X, 213ES0103X
OH35.130646CTR2083A0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0887064Medicare PIN