Provider Demographics
NPI:1548695802
Name:ALLEN, RABON DAVID (MSN)
Entity type:Individual
Prefix:
First Name:RABON
Middle Name:DAVID
Last Name:ALLEN
Suffix:
Gender:M
Credentials:MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21341 CROMWELL AVE
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW PARK
Mailing Address - State:OH
Mailing Address - Zip Code:44126-2716
Mailing Address - Country:US
Mailing Address - Phone:440-801-1518
Mailing Address - Fax:
Practice Address - Street 1:34055 SOLON RD
Practice Address - Street 2:SUITE 201
Practice Address - City:SOLON
Practice Address - State:OH
Practice Address - Zip Code:44139-2662
Practice Address - Country:US
Practice Address - Phone:440-914-7840
Practice Address - Fax:440-914-7855
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-05
Last Update Date:2013-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.293147163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator