Allison, Jacquelyn E

Allison, Jacquelyn E is an individual health care provider with primary practice located at 702 Riley Hospital Dr , Indianapolis IN 46202-5139. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Pediatric Anesthesiology is her primary health care specialty. Allison, Jacquelyn E can be contacted via phone (317) 944-9981.

Contact Information

Primary practice address
702 Riley Hospital Dr Indianapolis IN 46202-5139
Fax: (317) 944-0282
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 01060687A Indiana
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X 01060687A Indiana

Profile Details

NPI number 1588601116
LBN Legal business name Allison, Jacquelyn E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Nov 19th, 2020 - 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 1588601116 NPPES
Indiana MEDICAID 200827410

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