Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 3119 | OH |
NPI | 1437202769 |
---|---|
Provider Name | Dr. Christos A Efthimiou |
First Address | Warren, OH 44484-2342 |
Second Address | Warren, OH 44484-2342 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2007 |
Last Update Date | 21/09/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
300024250-00 | OHIO BWC (01) | OH |