Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 35-063498 | OH |
NPI | 1083630297 |
---|---|
Provider Name | Christina S Hirsch |
First Address | Euclid, OH 44117-1714 |
Second Address | Cleveland, OH 44106-1716 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2006 |
Last Update Date | 30/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000224278 | UNISON (01) | OH |
000000539561 | ANTHEM (01) | OH |
0205763 | (05) | OH |
0810047 | AETNA (01) | OH |
363639 | WELLCARE (01) | OH |
440003064 | RAILROAD MEDICARE (01) | OH |
745459 | BUCKEYE (01) | OH |
G21906 | (02) |