Provider Demographics
NPI:1831651835
Name:ALLISON, JOHN EVAN (DO)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:EVAN
Last Name:ALLISON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:236 ELM DR
Mailing Address - Street 2:
Mailing Address - City:WAYNESBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15370-8265
Mailing Address - Country:US
Mailing Address - Phone:724-627-0926
Mailing Address - Fax:724-627-0812
Practice Address - Street 1:236 ELM DR
Practice Address - Street 2:
Practice Address - City:WAYNESBURG
Practice Address - State:PA
Practice Address - Zip Code:15370-8265
Practice Address - Country:US
Practice Address - Phone:724-627-0926
Practice Address - Fax:724-627-0812
Is Sole Proprietor?:No
Enumeration Date:2019-04-01
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS022197207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine