Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 76347 | OH |
N | 208600000X | Surgeon | 76347 | OH |
Y | 2086S0102X | Surgical Critical Care | 35.076347 | OH |
NPI | 1134115900 |
---|---|
Provider Name | Dr. Heath A Dorion |
First Address | Youngstown, OH 44510-1617 |
Second Address | Youngstown, OH 44510-1617 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2005 |
Last Update Date | 21/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2446848 | (05) | OH |
H149600 | MEDICARE PTAN (01) | OH |