Provider Demographics
NPI:1811217755
Name:HALONEN, ALLISON DOLBEE (DO)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:DOLBEE
Last Name:HALONEN
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 1:4520 BECKLEY RD.
Mailing Address - Street 2:
Mailing Address - City:BATTE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49015
Mailing Address - Country:US
Mailing Address - Phone:269-969-8723
Mailing Address - Fax:269-969-8723
Practice Address - Street 1:4520 BECKLEY RD
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49015-7941
Practice Address - Country:US
Practice Address - Phone:269-969-8723
Practice Address - Fax:269-969-8723
Is Sole Proprietor?:No
Enumeration Date:2010-06-02
Last Update Date:2016-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101018668390200000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI103057310Medicaid