Individual
MR. DONALD RAY ALLEN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1031 W WESTERN RESERVE RD, POLAND, OH 44514-3541
(330) 965-0900
(330) 965-9250
Mailing address
4135 BOARDMAN CANFIELD RD, SUITE 101, CANFIELD, OH 44406-9803
(330) 286-5330
(330) 286-5396
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
RN 271871
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
RN575013
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098543FAM
MEDICARE PTAN
PA
05
—
2625298
—
OH
01
—
8236623
MEDICARE
OH
01
—
P00999006
MEDICARE RAILROAD
PA
Enumeration date
05/04/2006
Last updated
12/11/2014
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