Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 1037404 | IN |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 1037404 | IN |
NPI | 1053318865 |
---|---|
Provider Name | Andrew T. Saltzman |
First Address | Evansville, IN 47715-8198 |
Second Address | Evansville, IN 47715-8198 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2005 |
Last Update Date | 05/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000108323 | ANTHEM (01) | IN |
100259600A | (05) | IN |
118287 | HEALTHLINK (01) | IN |
E03858 | (02) |