Individual
DR. ELISE C ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
14040 HOSPITAL RD, BOYS TOWN, NE 68010-7521
(402) 778-6800
(402) 778-6874
Mailing address
555 N 30TH ST, OMAHA, NE 68131-2136
(402) 280-8100
(402) 280-8103
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
22545
NE
207YP0228X
Pediatric Otolaryngology Physician
22545
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02751
BCBS BT
NE
01
—
02756
BCBS ENT
NE
05
—
0573105
—
IA
05
—
1000288
—
NE
05
—
1000479
—
NE
05
—
1000482
—
NE
05
—
1000483
—
NE
05
—
1000484
—
NE
05
—
1000572
—
NE
05
—
1000578
—
NE
05
—
1000620
—
NE
05
—
100251710-00
—
NE
05
—
1573105
—
IA
01
—
242241
MIDLANDS CHOICE
NE
05
—
2573105
—
IA
05
—
3573105
—
IA
05
—
4573105
—
IA
Enumeration date
12/26/2006
Last updated
02/20/2013
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