Provider Demographics
NPI:1346045341
Name:ALLAH, BE KNOWLEDGE I (LMBT)
Entity type:Individual
Prefix:
First Name:BE KNOWLEDGE
Middle Name:
Last Name:ALLAH
Suffix:I
Gender:M
Credentials:LMBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5275 MOONLIGHT TRL SW
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-8801
Mailing Address - Country:US
Mailing Address - Phone:609-418-3457
Mailing Address - Fax:
Practice Address - Street 1:5275 MOONLIGHT TRL SW
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-8801
Practice Address - Country:US
Practice Address - Phone:609-418-3457
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-14
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20695225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty