Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | 35050334 | OH |
N | 2084N0600X | Clinical Neurophysiologist | 35050334 | OH |
NPI | 1225024599 |
---|---|
Provider Name | Ann M Pakalnis |
First Address | Columbus, OH 43205-2664 |
Second Address | Columbus, OH 43205-2664 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2005 |
Last Update Date | 24/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0698302 | (05) | OH |
64958804 | (05) | KY |
H902640 | CGS-MEDICARE (01) | OH |