Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 01072996A | IN |
N | 111NI0900X | Internist | 01072996A | IN |
N | 207RH0000X | Hematologist | 01072996A | IN |
Y | 207RH0003X | Hematology & Oncology | 01072996A | IN |
N | 207RX0202X | Medical Oncology | 01072996A | IN |
NPI | 1205886181 |
---|---|
Provider Name | Dr. Jeffrey Paul Allerton |
First Address | Bloomington, IN 47402-1329 |
Second Address | Bloomington, IN 47403-2316 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2006 |
Last Update Date | 18/12/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
201174520 | (05) | IN |
A66533 | (02) |