Joy C Allen, MD
Individual provider Active NPI Radiation Oncology Physician · Michigan City, IN
NPI 1124034905 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1124034905
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Radiation Oncology Physician 2085R0001X
- License
- IN01046633 (IN)
- Practice address
- 1507 Wabash St
Michigan City, IN 46360 - Phone
- (219) 874-3188
- Fax
- (219) 874-7868
- NPI assigned
- Jul 31, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IN01046633 | IN | MD | Radiation Oncology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | IN01046633 | IN | Yes |
Addresses
Primary practice location
1507 Wabash St
Michigan City, IN 46360
Mailing address
1507 Wabash St
Michigan City, IN 46360
Phone (219) 874-3188
Other providers in Michigan City, IN
- Patrick David Albert
- Michelle Batacan Alexander
- Nicolette Sue Alexander
- Alick'S Home Medical Equipment, Inc
- Larisa I Allakhverdova
- Monica Almy-Boylan
- American Limb & Orthopedic Company of Valparaiso
- Amn Enterprises
- Latrenia Anderson
- Robert S Angelo
All providers in Michigan City, IN · Radiation Oncology Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.