Organization
ALLERGY ASTHMA CARE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH WAYNE BLUMENTHAL DO (PRESIDENT)
(219) 531-5855
Entity
Organization
Contact information
Practice address
2802 LEONARD DR STE 100, VALPARAISO, IN 46383-7136
(219) 531-5855
(219) 531-1617
Mailing address
2802 LEONARD DR STE 100, VALPARAISO, IN 46383-7136
(219) 531-5855
(219) 531-1617
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
01049183A
IN
174400000X
Specialist
Primary
02000639A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200418460
—
IN
Enumeration date
08/04/2006
Last updated
05/07/2024
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