Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | 02006221A | IN |
N | 207R00000X | Internist | 5101017682 | MI |
N | 111NI0900X | Internist | 5101017682 | MI |
NPI | 1316100803 |
---|---|
Provider Name | Dr. Allison Turner |
First Address | Fort Wayne, IN 46845-1701 |
Second Address | Fort Wayne, IN 46845-1733 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2008 |
Last Update Date | 22/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1316100803 | (05) | MI |
5101017682 | LICENSE (01) | MI |