Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 35123774 | OH |
Y | 208000000X | Pediatrician | DR.0055277 | CO |
N | 2080A0000X | Adolescent Medicine | 35123774 | OH |
NPI | 1043345309 |
---|---|
Provider Name | Christian Pariseau |
First Address | Columbus, OH 43205-2654 |
Second Address | Loveland, CO 80538-9004 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2007 |
Last Update Date | 18/02/2020 |