Basic Information
| Provider Information | |||||||||
| NPI: | 1992789440 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ALLIED PHYSICIANS INC., D/B/A EAR, NOSE & THROAT SPECIALISTS | ||||||||
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| Mailing Information | |||||||||
| Address1: | DEKALB MEMORIAL HOSPITAL | ||||||||
| Address2: | EAST 7TH STREET | ||||||||
| City: | AUBURN | ||||||||
| State: | IN | ||||||||
| PostalCode: | 46706 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2609254600 | ||||||||
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| Address1: | DEKALB MEMORIAL HOSPITAL | ||||||||
| Address2: | EAST 7TH STREET | ||||||||
| City: | AUBURN | ||||||||
| State: | IN | ||||||||
| PostalCode: | 46706 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2609254600 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/29/2005 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | FALLON | ||||||||
| AuthorizedOfficialFirstName: | JOHN | ||||||||
| AuthorizedOfficialMiddleName: | H. | ||||||||
| AuthorizedOfficialTitleorPosition: | PHYSICIAN/EMPLOYEE | ||||||||
| AuthorizedOfficialTelephone: | 2604840919 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Y00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Otolaryngology |
No ID Information.