Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | 36-00-3123 | OH |
NPI | 1326028291 |
---|---|
Provider Name | Dr. Carol A. Strong |
First Address | New Vienna, OH 45159-9552 |
Second Address | New Vienna, OH 45159-9552 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2006 |
Last Update Date | 10/03/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000293461 | ANTHEM BLUE CROSS & BLUE (01) | OH |
020560473 | GREAT WEST HEALTHCARE (01) | OH |
020560473 | HUMANA (01) | OH |
2099634 | (05) | OH |
27-90116 | UNITED HEALTHCARE (01) | OH |
7115009 | AETNA US HEALTHCARE (01) | OH |
8644131.001 | CIGNA (01) | OH |
A10028265 | PHCS (01) | OH |
U75859 | (02) | OH |