Provider Demographics
NPI:1134248735
Name:DR. A. O. ALLENIUS AND ASSOCIATES, INC.
Entity type:Organization
Organization Name:DR. A. O. ALLENIUS AND ASSOCIATES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ARNOLD
Authorized Official - Middle Name:O
Authorized Official - Last Name:ALLENIUS
Authorized Official - Suffix:
Authorized Official - Credentials:D O
Authorized Official - Phone:614-294-7200
Mailing Address - Street 1:1020 DENNISON AVE
Mailing Address - Street 2:200
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43201-3497
Mailing Address - Country:US
Mailing Address - Phone:314-294-7200
Mailing Address - Fax:614-294-5918
Practice Address - Street 1:1020 DENNISON AVE
Practice Address - Street 2:200
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43201-3497
Practice Address - Country:US
Practice Address - Phone:314-294-7200
Practice Address - Fax:614-294-5918
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Not Answered261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH05022915500OtherBWC
OH0591551Medicaid
OH0591551Medicaid