Provider Demographics
NPI:1467435206
Name:ALLIED PHYSICIANS INC., D/B/A EAR, NOSE & THROAT SPECIALIST
Entity Type:Organization
Organization Name:ALLIED PHYSICIANS INC., D/B/A EAR, NOSE & THROAT SPECIALIST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/EMPLOYEE
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:H
Authorized Official - Last Name:FALLON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:260-484-0919
Mailing Address - Street 1:2001 STULTS RD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:46750-1291
Mailing Address - Country:US
Mailing Address - Phone:260-335-3150
Mailing Address - Fax:
Practice Address - Street 1:2001 STULTS RD
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:IN
Practice Address - Zip Code:46750-1291
Practice Address - Country:US
Practice Address - Phone:260-335-3150
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN151060Medicare ID - Type Unspecified