Provider Demographics
NPI:1144284100
Name:HOWARD M ALIG MD INC
Entity type:Organization
Organization Name:HOWARD M ALIG MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:MARION
Authorized Official - Last Name:ALIG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:317-783-8700
Mailing Address - Street 1:110 N 17TH AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BEECH GROVE
Mailing Address - State:IN
Mailing Address - Zip Code:46107-1228
Mailing Address - Country:US
Mailing Address - Phone:317-783-8700
Mailing Address - Fax:317-783-5987
Practice Address - Street 1:110 N 17TH AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:BEECH GROVE
Practice Address - State:IN
Practice Address - Zip Code:46107-1231
Practice Address - Country:US
Practice Address - Phone:317-783-8700
Practice Address - Fax:317-783-5987
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-14
Last Update Date:2009-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01022661A207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200922780AMedicaid
IN181568192Medicare PIN
IN0188080001Medicare NSC
IN066100Medicare PIN
INE26954Medicare UPIN