Individual
ALLISON ELISE CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11590 N MERIDIAN ST STE 300, CARMEL, IN 46032-4529
(317) 948-7450
(317) 688-5098
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003634A
IN
363A00000X
Physician Assistant
5601008132
MI
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102298260
ANTHEM PTAN
IN
05
—
300067817
—
IN
Enumeration date
03/23/2015
Last updated
02/10/2025
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