Organization
ALLERGY CARE BOWLING GREEN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHON BALDWIN (PRESIDENT)
(270) 781-1586
Entity
Organization
Contact information
Practice address
1724 ROCKINGHAM AVE, SUITE 101, BOWLING GREEN, KY 42104-3379
(270) 842-7588
Mailing address
1724 ROCKINGHAM AVE, SUITE 101, BOWLING GREEN, KY 42104-3379
(270) 842-7588
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
22507
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100010380
—
KY
01
—
CM6973
RAILROAD MEDICARE
—
Enumeration date
02/09/2007
Last updated
07/26/2013
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