Healthcare Provider Details

I. General information

NPI: 1558499913
Provider Name (Legal Business Name): ALISON P PROTAIN D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 01/12/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 LOCUST ST SUITE 540
AKRON OH
44302-1821
US

IV. Provider business mailing address

300 LOCUST ST SUITE 540
AKRON OH
44302-1821
US

V. Phone/Fax

Practice location:
  • Phone: 330-543-8969
  • Fax: 866-851-6567
Mailing address:
  • Phone: 330-543-8969
  • Fax: 866-851-6567

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number34.008231
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: