Everett Douglas Allen
Internist - Addiction Medicine
2413 2nd St
Eureka
, California 95501-0811
Everett Douglas Allen
Internist - Addiction Medicine
2413 2nd St
Eureka
, California 95501-0811
(707) 465-6284
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About
Features
Specialties
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Everett Douglas Allen
- Po Box 98
- Crescent City, CA
- Zip : 95531-0098
- Fax : (707) 465-6284
- Phone : (707) 464-7863
Second Address
- Everett Douglas Allen
- 2413 2nd St
- Eureka, CA
- Zip : 95501-0811
- Fax : (707) 444-8012
- Phone : (707) 269-9590
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0401X | Internist - Addiction Medicine | G54881 | CA |
National Provider Identifier
| NPI | 1437615879 |
|---|---|
| Provider Name | Everett Douglas Allen |
| First Address | Crescent City, CA 95531-0098 |
| Second Address | Eureka, CA 95501-0811 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/02/2019 |
| Last Update Date | 11/02/2019 |
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.