Provider Demographics
NPI:1457313850
Name:ALLMAN, JOAN R (DO)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:R
Last Name:ALLMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1907 ANN ST
Mailing Address - Street 2:
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26101-2504
Mailing Address - Country:US
Mailing Address - Phone:304-424-4205
Mailing Address - Fax:304-424-4485
Practice Address - Street 1:1907 ANN ST
Practice Address - Street 2:
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26101-2504
Practice Address - Country:US
Practice Address - Phone:304-424-4205
Practice Address - Fax:304-424-4485
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2022-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1487208000000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
001722065OtherBLUE CROSS/BLUE SHIELD
WV0047289000Medicaid
080153252OtherRAILROAD MEDICARE
OH2182874Medicaid
G66275Medicare UPIN