Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 22545 | NE |
N | 207YP0228X | Pediatric Otolaryngology | 22545 | NE |
NPI | 1417012071 |
---|---|
Provider Name | Dr. Elise C Allen |
First Address | Omaha, NE 68131-2136 |
Second Address | Boys Town, NE 68010-7521 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/12/2006 |
Last Update Date | 20/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02751 | BCBS BT (01) | NE |
02756 | BCBS ENT (01) | NE |
0573105 | (05) | IA |
1000288 | (05) | NE |
1000479 | (05) | NE |
1000482 | (05) | NE |
1000483 | (05) | NE |
1000484 | (05) | NE |
1000572 | (05) | NE |
1000578 | (05) | NE |
1000620 | (05) | NE |
100251710-00 | (05) | NE |
1573105 | (05) | IA |
242241 | MIDLANDS CHOICE (01) | NE |
2573105 | (05) | IA |
3573105 | (05) | IA |
4573105 | (05) | IA |
H38895 | (02) | NE |