Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204C00000X | Sports Medicine Doctor | 35059322 | OH |
NPI | 1881672608 |
---|---|
Provider Name | Dr. Gerald T Bihn |
First Address | Perrysburg, OH 43551-1028 |
Second Address | Perrysburg, OH 43551-1783 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000137152 | ANTHEM INDIVIDUAL NUMBER (01) | OH |
01287 | PARAMOUNT NUMBER (01) | OH |
0843216 | (05) | OH |
E92001 | (02) | OH |