Antolin, Allison Lee

Antolin, Allison Lee is an individual health care provider with primary practice located at 21 South Park Blvd., Suite 21 , Greenwood IN 46143-8838. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Antolin, Allison Lee can be contacted via phone (317) 449-2104.

Contact Information

Primary practice address
21 South Park Blvd., Suite 21 Greenwood IN 46143-8838
Phone: (317) 449-2104
Fax: (317) 520-8200
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 31002997A Indiana

Profile Details

NPI number 1609365535
LBN Legal business name Antolin, Allison Lee
Credentials MS, OTR
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2018
Last updated Feb 20th, 2019 - 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 1609365535 NPPES
Other 1034906 NBCOT BOARD CERTIFICATION
MEDICAID 300018235 NBCOT BOARD CERTIFICATION

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