Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0203X | Pediatric Critical Care Doctor | 01036692 | IN |
N | 2080P0214X | Pediatric Pulmonologist | 01036692 | IN |
NPI | 1053416784 |
---|---|
Provider Name | David F Westenkirchner |
First Address | Indianapolis, IN 46206-1026 |
Second Address | Indianapolis, IN 46202-5109 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2006 |
Last Update Date | 22/02/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100068050 | (05) | IN |
1011757 | (05) | VT |
2653874 | (05) | OH |
64876279 | (05) | KY |
B04632 | (02) |