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ALLERGY ASSOCIATES OF CENTRAL IN LLC

Allergy

Indianapolis, Indiana

Provider NPI: 1093748253

Organization Information:
Organization Name:  ALLERGY ASSOCIATES OF CENTRAL IN LLC


Practice Location:
3266 N MERIDIAN ST SUITE 900 INDIANAPOLIS, IN 46208 US
Tel: 317-924-8297  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207KA0200XPhysicians
Allergy & Immunology
Allergy
N363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
N363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
N363LA2200XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Y207K00000XPhysicians
Allergy & Immunology

Other Provider Identifiers:

IssuerNumberStateType
200809930IN05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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