1134248735 NPI number — DR. A. O. ALLENIUS AND ASSOCIATES, INC.

Table of content: (NPI 1134248735)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1134248735 NPI number — DR. A. O. ALLENIUS AND ASSOCIATES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DR. A. O. ALLENIUS AND ASSOCIATES, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1134248735
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1020 DENNISON AVE
Provider Second Line Business Mailing Address:
200
Provider Business Mailing Address City Name:
COLUMBUS
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43201-3497
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
314-294-7200
Provider Business Mailing Address Fax Number:
614-294-5918

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1020 DENNISON AVE
Provider Second Line Business Practice Location Address:
200
Provider Business Practice Location Address City Name:
COLUMBUS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43201-3497
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
314-294-7200
Provider Business Practice Location Address Fax Number:
614-294-5918
Provider Enumeration Date:
03/28/2007

Additional Information

Authorized Official

Authorized Official Last Name:
ALLENIUS
Authorized Official First Name:
ARNOLD
Authorized Official Middle Name:
O
Authorized Official Title or Position:
MEDICAL DIRECTOR
Authorized Official Telephone Number:
614-294-7200

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 261QX0100X ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 05022915500 . This is a "BWC" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 0591551 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




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