Individual
ALLEN E TEAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2142 N COVE BLVD, TOLEDO, OH 43606-3895
(419) 291-4491
(419) 479-6905
Mailing address
1 SEAGATE STE 800, TOLEDO, OH 43604-1558
(330) 682-0582
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN153039
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000335311
ANTHEM
—
05
—
0672704
—
OH
Enumeration date
07/19/2006
Last updated
03/17/2018
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