Healthcare Provider Details

I. General information

NPI: 1669426755
Provider Name (Legal Business Name): OHIO VALLEY ENT & ALLERGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2006
Last Update Date: 06/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2125 STATE ST SUITE 6
NEW ALBANY IN
47150-4922
US

IV. Provider business mailing address

2125 STATE ST SUITE 6
NEW ALBANY IN
47150-4922
US

V. Phone/Fax

Practice location:
  • Phone: 812-945-3557
  • Fax: 812-949-3599
Mailing address:
  • Phone: 812-945-3557
  • Fax: 812-949-3599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0602X
TaxonomyOtolaryngic Allergy Physician
License Number
License Number StateIN

VIII. Authorized Official

Name: DR. DANIEL P AKIN
Title or Position: PRESIDENT
Credential: MD
Phone: 812-945-3557