Provider Demographics
NPI:1649370958
Name:ALLINA, ALFRED FRANCIS (DO)
Entity type:Individual
Prefix:DR
First Name:ALFRED
Middle Name:FRANCIS
Last Name:ALLINA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4656 W JEFFERSON BLVD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46804-6857
Mailing Address - Country:US
Mailing Address - Phone:260-434-1619
Mailing Address - Fax:260-434-0720
Practice Address - Street 1:4656 W JEFFERSON BLVD
Practice Address - Street 2:SUITE 250
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46804-6857
Practice Address - Country:US
Practice Address - Phone:260-434-1619
Practice Address - Fax:260-434-0720
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN02000536A2081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine