Patterson, Alonzo

Patterson, Alonzo is an individual health care provider with primary practice located at 1152 W 3Rd St , Dayton OH 45402-6847. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Patterson, Alonzo can be contacted via phone (937) 268-3483.

Contact Information

Primary practice address
1152 W 3Rd St Dayton OH 45402-6847
Phone: (937) 268-3483
Fax: (937) 268-1884
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35060175P Ohio

Profile Details

NPI number 1609830447
LBN Legal business name Patterson, Alonzo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Sep 13th, 2023 - about 2 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 1609830447 NPPES
Ohio Other 000000194421 ANTHEM PROVIDER NUMBER
Ohio MEDICAID 0791997 ANTHEM PROVIDER NUMBER

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