Provider Demographics
NPI:1528220852
Name:ALLERGY ASSOCIATES PA
Entity Type:Organization
Organization Name:ALLERGY ASSOCIATES PA
Other - Org Name:THE ALLERGY ASTHMA & SINUS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AR ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:A
Authorized Official - Last Name:CONNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-584-2411
Mailing Address - Street 1:6700 BAUM DR
Mailing Address - Street 2:SUITE ONE
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-7344
Mailing Address - Country:US
Mailing Address - Phone:865-584-5727
Mailing Address - Fax:865-450-9904
Practice Address - Street 1:403 PRINCETON RD
Practice Address - Street 2:SUITE 9
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37601-2056
Practice Address - Country:US
Practice Address - Phone:865-584-8588
Practice Address - Fax:865-584-3364
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALLERGY ASSOCIATES PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-06-27
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3703113Medicare UPIN