Latisha Allen
Individual provider Active NPI Prosthetics Case Management · Concord, NH
NPI 1053921148 · NPPES record last updated Aug 6, 2020
Key facts
- NPI
- 1053921148
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Prosthetics Case Management 1744P3200X
- Practice address
- 479 N State St Apt D1
Concord, NH 03301-3247 - Phone
- (815) 491-0603
- NPI assigned
- Aug 4, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | Yes |
Addresses
Primary practice location
479 N State St Apt D1
Concord, NH 03301-3247
Mailing address
479 N State St Apt D1
Concord, NH 03301-3247
Phone (815) 491-0603
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | latishaallen1@gmail.com | Health Information Exchange (HIE) |
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All providers in Concord, NH · Prosthetics Case Management in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.