Individual
ALLEN P DEPLAZES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 3RD AVE SE STE A, MINOT, ND 58701
(701) 852-0174
(701) 858-8087
Mailing address
4909 SHELBURNE ST, BISMARCK, ND 58503-5605
(701) 852-0174
(701) 858-8087
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
1548690597
ND
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15486905978
—
ND
Enumeration date
11/12/2013
Last updated
10/15/2021
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