Provider Demographics
NPI:1699328211
Name:ALLEN, APRIL ROSE (LAC, DIPL AC)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:ROSE
Last Name:ALLEN
Suffix:
Gender:F
Credentials:LAC, DIPL AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1133 MORELAND ST
Mailing Address - Street 2:
Mailing Address - City:GRAND HAVEN
Mailing Address - State:MI
Mailing Address - Zip Code:49417-2821
Mailing Address - Country:US
Mailing Address - Phone:616-843-7799
Mailing Address - Fax:
Practice Address - Street 1:103 S BEECHTREE ST
Practice Address - Street 2:
Practice Address - City:GRAND HAVEN
Practice Address - State:MI
Practice Address - Zip Code:49417-1605
Practice Address - Country:US
Practice Address - Phone:616-843-7799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-23
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5402000129171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist