Individual
BENJAMIN ETHAN MCALLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
120 W MCKENZIE RD STE F, GREENFIELD, IN 46140-1072
(317) 468-6200
(317) 468-6201
Mailing address
1 MEMORIAL SQ STE 50, GREENFIELD, IN 46140-1357
(317) 468-6257
(317) 468-6268
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
02004445A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/14/2012
Last updated
10/16/2018
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