# MR. COREY ALLEN SR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1497443667
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 343800000X | Secured Medical Transport (VAN) | 2400448624 | IN | — |
| 343900000X | Non-emergency Medical Transport (VAN) | 2400448624 | IN | — |
| 347C00000X | Private Vehicle | 2400448624 | IN | Yes |

## Other

- **Enumeration date:** 04/26/2023
- **Last updated:** 04/28/2023