Dr. Allan Phillip Ingenito
Neurologist Child Neurologist
3833 Coon Rapids Blvd Nw Suite 100
Coon Rapids
, Minnesota 55433-2697
Dr. Allan Phillip Ingenito
Neurologist Child Neurologist
3833 Coon Rapids Blvd Nw Suite 100
Coon Rapids
, Minnesota 55433-2697
(763) 302-4338
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About
Features
Specialties
- Neurologist
- Child Neurologist
Languages spoken
- English
Location
First Address
- Dr. Allan Phillip Ingenito
- 3833 Coon Rapids Blvd Nw Suite 100
- Coon Rapids, MN
- Zip : 55433-2697
- Fax : (763) 302-4338
- Phone : (763) 427-8320
Second Address
- Dr. Allan Phillip Ingenito
- 3833 Coon Rapids Blvd Nw Suite 100
- Coon Rapids, MN
- Zip : 55433-2697
- Fax : (763) 302-4338
- Phone : (763) 427-8320
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2084N0400X | Neurologist | 29584 | MN |
| N | 2084N0402X | Child Neurologist | 29584 | MN |
National Provider Identifier
| NPI | 1124068770 |
|---|---|
| Provider Name | Dr. Allan Phillip Ingenito |
| First Address | Coon Rapids, MN 55433-2697 |
| Second Address | Coon Rapids, MN 55433-2697 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/06/2006 |
| Last Update Date | 19/03/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0265011 | PREFERRED ONE (01) | MN |
| 0509674 | MEDICA (01) | MN |
| 07691IN | BCBS OF MN (01) | MN |
| 100289C029 | UCARE (01) | MN |
| 130005768 | RAILROAD MEDICARE (01) | MN |
| 162078900 | (05) | MN |
| 22676 | AMERICA'S PPO (01) | MN |
| 30709400 | WI MEDICAID (01) | WI |
| A93655 | (02) | MN |
| HP13588 | HEALTHPARTNERS (01) | MN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.