Organization
EDWARD J ALLISON PSC
Active
Organization
EDWARD J ALLISON PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD J ALLISON C.R.N.A. (OWNER/PRESIDENT)
(941) 747-2830
Entity
Organization
Contact information
Practice address
227 E MCCALLISTER DR, TERRE HAUTE, IN 47802-4248
(765) 832-7372
Mailing address
724 E 125TH ROAD, KANSAS, IL 61933
(941) 747-2830
(941) 747-6170
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200514680
—
IN
Enumeration date
10/10/2006
Last updated
04/13/2010
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