Provider Demographics
NPI:1326378340
Name:ALIVIO HEALTH, PC
Entity Type:Organization
Organization Name:ALIVIO HEALTH, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:
Authorized Official - Last Name:ERASO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:317-352-1137
Mailing Address - Street 1:2045 RAMA DR
Mailing Address - Street 2:FIRST FLOOR
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46219-1710
Mailing Address - Country:US
Mailing Address - Phone:317-352-1137
Mailing Address - Fax:317-352-1252
Practice Address - Street 1:2045 RAMA DR
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46219-1710
Practice Address - Country:US
Practice Address - Phone:317-352-1137
Practice Address - Fax:317-352-1252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-14
Last Update Date:2010-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12010967A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty