Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | 2972 | OH |
NPI | 1427051317 |
---|---|
Provider Name | Dr. Guy Barnaba Del Prince |
First Address | Ashtabula, OH 44004-6439 |
Second Address | Ashtabula, OH 44004-6439 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2005 |
Last Update Date | 18/04/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000116450 | ANTHEM (01) | |
1156710001 | DMERC (01) | OH |
1525116 | UMHA (01) | OH |
2003656 | (05) | OH |
480021052 | RR MEDICARE (01) | OH |
U64981 | (02) | OH |