Allison, Nathan Kyle

Allison, Nathan Kyle is an individual health care provider with primary practice located at 2200 Randallia Dr , Fort Wayne IN 46805. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Allison, Nathan Kyle can be contacted via phone (260) 373-4000.

Contact Information

Primary practice address
2200 Randallia Dr Fort Wayne IN 46805
Phone: (260) 373-4000
Fax: (260) 482-4442
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01060499A Indiana

Profile Details

NPI number 1679574024
LBN Legal business name Allison, Nathan Kyle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Aug 23rd, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679574024 NPPES
Other 000000031002 MPLAN
MEDICAID 104874445 MPLAN
MEDICAID 2571560 MPLAN
Other 000000364924 MPLAN
MEDICAID 200519770 MPLAN

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