MEDICARE: MR. AARON S ALLEN RCP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2278G1100X	General Care Certified Respiratory Therapist	29949	CA
2	2278G1100X	General Care Certified Respiratory Therapist	RC2219	NV

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	DU0139	OTHER	NV	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003101015
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. AARON S ALLEN RCP

Provider Business Mailing Address
First Line	:	2870 S MARYLAND PKWY.
Second Line	:	SUITE 230
City	:	LAS VEGAS
State	:	NV
Zip	:	89109-1548
Country	:	US
Telephone Number	:	702-893-3333
Fax Number	:	702-893-0960

Provider Business Practice Location Address
First Line	:	4640 W CRAIG ROAD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89032-2743
Country	:	US
Telephone Number	:	702-839-0091
Fax Number	:	702-839-0095

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2011
Last Update Date	:	03/26/2014

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Directions to “ MR. AARON S ALLEN RCP” Practice Location

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