Provider Demographics
NPI:1194259150
Name:PEPPLE, ALLISON ELIZABETH (MD)
Entity type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:ELIZABETH
Last Name:PEPPLE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:915 MICHIGAN ST
Mailing Address - Street 2:
Mailing Address - City:SIDNEY
Mailing Address - State:OH
Mailing Address - Zip Code:45365-2401
Mailing Address - Country:US
Mailing Address - Phone:937-498-5491
Mailing Address - Fax:937-497-9917
Practice Address - Street 1:111 E LYNN ST
Practice Address - Street 2:
Practice Address - City:BOTKINS
Practice Address - State:OH
Practice Address - Zip Code:45306-8011
Practice Address - Country:US
Practice Address - Phone:937-693-1541
Practice Address - Fax:937-693-1546
Is Sole Proprietor?:No
Enumeration Date:2017-04-17
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35.140865207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHD8523342Medicaid