Individual provider · NPI-1

John Michael Allen, D.O.

Family Medicine · Mentor, OH

NPI number1215514815
StatusActive
Last updated in NPPESJul 10, 2024

Details

NPI
1215514815
Entity type
Individual (NPI-1)
Name
John Michael Allen
Credential
D.O.
Sex
Male
Sole proprietor
No
Enumeration date
Mar 28, 2021
Certification date
Jul 10, 2024
Last updated
Jul 10, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine34.017207OHYes

Practice location

9500 Mentor Avenue
Suite 100
Mentor, OH 44060-8702

Phone 440-898-1021

Mailing address

9500 Mentor Ave Ste 100
Mentor, OH 44060-8702

Phone 440-898-1021

Other practice locations

27100 Chardon Rd
Richmond Heights, OH 44143-1116

Phone 440-585-6500

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