Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 35.089793 | OH |
N | 2084N0400X | Neurologist | 35089793 | OH |
Y | 2084N0600X | Clinical Neurophysiologist | 35089793 | OH |
NPI | 1316113491 |
---|---|
Provider Name | Dr. Adam Nicholas Ueberroth |
First Address | Dublin, OH 43016-4259 |
Second Address | Columbus, OH 43221-2417 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2008 |
Last Update Date | 05/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2839923 | (05) | OH |