Provider Demographics
NPI:1992872402
Name:ALLMAN ENTERPRISES, INC.
Entity type:Organization
Organization Name:ALLMAN ENTERPRISES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:W
Authorized Official - Last Name:ALLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HIS
Authorized Official - Phone:505-622-0375
Mailing Address - Street 1:PO BOX 941
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:NM
Mailing Address - Zip Code:88202-0941
Mailing Address - Country:US
Mailing Address - Phone:505-622-0375
Mailing Address - Fax:505-622-0575
Practice Address - Street 1:214 W 1ST ST
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:NM
Practice Address - Zip Code:88203-4602
Practice Address - Country:US
Practice Address - Phone:505-622-0375
Practice Address - Fax:505-622-0575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM040237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM67511Medicaid
NMT158OtherBLUE CROSS BLUE SHIELD
NMPROVA21017Medicaid
NM1834Medicaid
NMR3369Medicaid