Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0200X | Radiology | 1876 | OH |
Y | 213ER0200X | Radiology | 1876 | OH |
NPI | 1265596670 |
---|---|
Provider Name | Dr. Bryan Keith Hosler |
First Address | Loveland, OH 45140-9935 |
Second Address | Loveland, OH 45140-9935 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/12/2006 |
Last Update Date | 24/04/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0917851 | (05) | OH |
P00198218 | RAILROAD MEDICARE (01) | |
U35662 | (02) |