Individual
MR. COREY ALLEN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4246 SUNSHINE AVE, INDIANAPOLIS, IN 46228-2719
(317) 531-7613
Mailing address
4246 SUNSHINE AVE, INDIANAPOLIS, IN 46228-2719
(317) 531-7613
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
2400448624
IN
343900000X
Non-emergency Medical Transport (VAN)
2400448624
IN
347C00000X
Private Vehicle
Primary
2400448624
IN
Other
Enumeration date
04/26/2023
Last updated
04/28/2023
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