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Contact Information

NATHAN K ALLISON, MD
2200 RANDALLIA DR
FORT WAYNE, IN46805
 Phone: 260-373-4000
 Fax: 260-482-4442
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for NATHAN K ALLISON · (Male)

NPI Number 1679574024
Status Active
Credentials MD
Entity Individual
Enumeration date 08/09/2005
Last updated 11/14/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IN License # 01060499A
  • IN Medicaid 200519770
  • MI Medicaid 104874445
  • OH Medicaid 2571560
  • Other 000000031002 MPLAN
  • IN Other 000000364924 ANTHEM
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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