Provider Demographics
NPI:1154838795
Name:ALLEGIANT MEDICAL NETWORK
Entity Type:Organization
Organization Name:ALLEGIANT MEDICAL NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:CURTIS
Authorized Official - Last Name:MILNAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-583-9097
Mailing Address - Street 1:PO BOX 331598
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37133-1598
Mailing Address - Country:US
Mailing Address - Phone:877-583-9097
Mailing Address - Fax:877-236-5633
Practice Address - Street 1:1340 SHEARRON CT
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130-5646
Practice Address - Country:US
Practice Address - Phone:931-703-4048
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-04
Last Update Date:2018-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty