Allan Ernest Hallquist, MD
Individual provider Active NPI Anatomic Pathology & Clinical Pathology Physician · Morning View, KY
NPI 1992797443 · NPPES record last updated Mar 5, 2008
Key facts
- NPI
- 1992797443
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License
- 26846 (KY)
- Practice address
- 13351 Rosehawk Dr
Morning View, KY 41063 - Phone
- (859) 363-3098
- NPI assigned
- Aug 19, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| 0028646 | KY | MD | Neuropathology Physician |
| 35059201 | OH | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Elizabeth Medical Center, Inc | Current | Accepting new patients |
Locations
2300 Chamber Center Dr
Lakeside Park, KY 41017
Phone (859) 341-3114
238 Barnes Rd
Williamstown, KY 41097
Phone (859) 292-4000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuropathology Physician | 207ZN0500X | 0028646 | KY | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 26846 | KY | Yes |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 35059201 | OH |
Addresses
Primary practice location
13351 Rosehawk Dr
Morning View, KY 41063
Mailing address
13351 Rosehawk Dr
Morning View, KY 41063
Phone (859) 363-3098
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64078876 | Medicaid | KY |
Other providers in Morning View, KY
- Brenda Lee Carroll
- Here to There With Care
- Piner Fiskburg Ambulance Ser
- Piner Fiskburg Fire Protection District
- Virginia Lee Rabe
- Kendra Ann Wolfinbarger
All providers in Morning View, KY · Anatomic Pathology & Clinical Pathology Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2008. 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.