Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 02003844A | IN |
Y | 207X00000X | Orthopaedic Surgeon | 34.010778 | OH |
NPI | 1003068230 |
---|---|
Provider Name | Dr. Chad A Reed |
First Address | Dayton, OH 45414-5803 |
Second Address | Dayton, OH 45414 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2008 |
Last Update Date | 19/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000725521 | ANTHEM (01) | IN |
0066071 | (05) | OH |
201031540 | (05) | IN |