Provider Demographics
NPI:1679506356
Name:ALISON A CLAREY DO INC
Entity Type:Organization
Organization Name:ALISON A CLAREY DO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:A
Authorized Official - Last Name:CLAREY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:937-439-4145
Mailing Address - Street 1:PO BOX 635913
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-5913
Mailing Address - Country:US
Mailing Address - Phone:937-439-4145
Mailing Address - Fax:937-439-4371
Practice Address - Street 1:2717 MIAMISBURG CENTERVILLE RD
Practice Address - Street 2:SUITE 215
Practice Address - City:CENTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:45459
Practice Address - Country:US
Practice Address - Phone:937-439-4145
Practice Address - Fax:937-439-4371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2511268Medicaid
OH2511268Medicaid