Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 008168 | OH |
N | 2251E1200X | Ergonomics | 008168 | OH |
N | 225XE1200X | Ergonomics | 008168 | OH |
N | 2251G0304X | Physical Therapist - Geriatrics | 008168 | OH |
N | 2251X0800X | Physical Therapist - Orthopedic | 008168 | OH |
NPI | 1104927144 |
---|---|
Provider Name | David Michael Balsman |
First Address | Urbana, OH 43078-9112 |
Second Address | Urbana, OH 43078-9112 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000028494 | ANTHEM BC/BS (01) | OH |
2343155 | (05) | OH |