Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 35099929 | OH |
N | 207R00000X | Internist | 35099929 | OH |
N | 111NI0900X | Internist | 35099929 | OH |
NPI | 1457588642 |
---|---|
Provider Name | Casey D. Curtis |
First Address | Columbus, OH 43202-1559 |
Second Address | Columbus, OH 43212-3153 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2009 |
Last Update Date | 24/08/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0107221 | (05) | OH |