Healthcare Provider Details

I. General information

NPI: 1992872402
Provider Name (Legal Business Name): ALLMAN ENTERPRISES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 W 1ST ST
ROSWELL NM
88203-4602
US

IV. Provider business mailing address

PO BOX 941
ROSWELL NM
88202-0941
US

V. Phone/Fax

Practice location:
  • Phone: 505-622-0375
  • Fax: 505-622-0575
Mailing address:
  • Phone: 505-622-0375
  • Fax: 505-622-0575

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number040
License Number StateNM

VIII. Authorized Official

Name: MR. HOWARD W. ALLMAN
Title or Position: PRESIDENT
Credential: BC-HIS
Phone: 505-622-0375