Individual
JENNIFER DIANE ALLSOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
44 EXECUTIVE DR, NORWALK, OH 44857-9566
(419) 668-4851
(419) 663-5146
Mailing address
PO BOX 378, SANDUSKY, OH 44871-0378
(419) 609-1112
(419) 609-1123
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34005199A
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0833254
—
OH
01
—
P00296969
RAILROAD MEDICARE
—
Enumeration date
06/03/2006
Last updated
07/20/2015
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