Sidonia Lee Alo, IDMT

Key facts

NPI

1285068296

Entity type

Individual (NPI type 1)

Primary specialty

Independent Duty Medical Technicians 1710I1003X

Practice address

431 Meadowlark St
Shaw Afb, SC 29152-5019

Phone

(803) 895-6527

NPI assigned

Aug 27, 2013

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)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 27, 2013.

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377561600000",
    "number": "1285068296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 MEADOWLARK ST",
            "city": "SHAW AFB",
            "state": "SC",
            "postal_code": "291525019",
            "telephone_number": "803-895-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 MEADOWLARK ST",
            "city": "SHAW AFB",
            "state": "SC",
            "postal_code": "291525019",
            "telephone_number": "803-895-6527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALO",
        "first_name": "SIDONIA",
        "middle_name": "LEE",
        "credential": "IDMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-27",
        "last_updated": "2013-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shaw Afb, SC

• 20TH Medgrp-Shaw
• 20TH Medgrp-Shaw
• Lauren Carol Allain, FNP-BC
• John Paul Andrew, DO
• Leah Michelle Bagley, NP-C
• Jeffrey Allan Banks, M.D.
• John Alan Barnett, RPH
• Suzan Beattie

All providers in Shaw Afb, SC · Independent Duty Medical Technicians in South Carolina