NPI 1083672919 · live from the CMS NPI Registry
Jonathan E Alley, D.O.
Family Medicine in Angola, IN. National Provider Identifier 1083672919, active.
NPI record
| NPI | 1083672919 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 424 Williams St, Angola, IN 46703 |
| Practice phone | 260-665-5170 |
| Enumerated | May 2, 2006 |
| Last updated | April 11, 2013 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 50003955A (IN) |
| Anesthesiology | 207L00000X | 20014061 (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.