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NPI 1811620057 · live from the CMS NPI Registry

Allen Intensivist Group LLC

Internal Medicine, Critical Care Medicine in Lima, OH. National Provider Identifier 1811620057, active.

NPI record

NPI1811620057 Type 2 · organization
StatusActive
Primary specialtyInternal Medicine, Critical Care Medicine 207RC0200X
Practice location1001 Bellefontaine Ave, Lima, OH 45804
Practice phone419-228-3335
Mailing address200 Corporate Blvd, Lafayette, LA 70508
EnumeratedJuly 6, 2022
Last updatedJuly 6, 2022
Authorized officialLisha Falk, Vp Of Contracting

Taxonomies and licenses

TaxonomyCodeLicense
Physician Assistant363A00000X—
Nurse Practitioner, Critical Care Medicine363LC0200X—
Internal Medicine, Critical Care Medicine primary207RC0200X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.