Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RG0100X | Gastroenterologist | 19757 | WV |
Y | 207RG0100X | Gastroenterologist | 35.072572 | OH |
NPI | 1033116157 |
---|---|
Provider Name | Basel Termanini |
First Address | Steubenville, OH 43952-2667 |
Second Address | Steubenville, OH 43953-3327 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2005 |
Last Update Date | 12/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0088478000 | (05) | WV |
100014689 | RR MEDICARE (01) | OH |
2043452 | (05) | OH |