Organization
ALLERGY ASSOCIATES OF CENTRAL IN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA A GOLDBERG (EXECUTIVE DIRECTOR)
(317) 924-8297
Entity
Organization
Contact information
Practice address
3266 N MERIDIAN ST, SUITE 900, INDIANAPOLIS, IN 46208-5846
(317) 924-8297
(317) 924-8348
Mailing address
3266 N MERIDIAN ST, SUITE 900, INDIANAPOLIS, IN 46208-5846
(317) 924-8297
(317) 924-8348
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
207KA0200X
Allergy Physician
—
—
363L00000X
Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200809930
—
IN
Enumeration date
07/09/2006
Last updated
03/11/2013
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