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DR. LUIS S ALONZO M.D.
Psychiatry >> Psychiatry & Neurology >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1215903877
Individual Registrant:DR. LUIS S ALONZO M.D.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
610 E GRANT AVE IROQUOIS CENTER FOR HUMAN DEVELOPMENT, INC. GREENSBURG, KS 67054-2708 US
Tel: 620-723-2272 Fax: 620-723-3450
Tel: 620-723-2272 Fax: 620-723-3450
Contact information for business:
610 E GRANT AVE IROQUOIS CENTER FOR HUMAN DEVELOPMENT, INC. GREENSBURG, KS 67054-2708 US
Tel: 620-723-2272 Fax: 620-723-3450
Tel: 620-723-2272 Fax: 620-723-3450
Registration Information:
NPI: 1215903877
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 2084P0800X | Allopathic & Osteopathic Physicians Psychiatry & Neurology Psychiatry | KS | 0800245 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 100316080J | KS | 05 | |
| MEDICARE | 106621 | KS | 01 |
