Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 00188 | KY |
Y | 222Z00000X | Podiatrist | 00188 | KY |
N | 213E00000X | Podiatrist | 07000617A | IN |
N | 222Z00000X | Podiatrist | 07000617A | IN |
N | 213EP1101X | Primary Podiatric Medicine | 00188 | KY |
N | 213EP1101X | Primary Podiatric Medicine | 07000617A | IN |
N | 111NR0200X | Radiology | 00188 | KY |
N | 213ER0200X | Radiology | 00188 | KY |
N | 111NR0200X | Radiology | 07000617A | IN |
N | 213ER0200X | Radiology | 07000617A | IN |
N | 213ES0103X | Foot & Ankle Surgery | 00188 | KY |
N | 213ES0103X | Foot & Ankle Surgery | 07000617A | IN |
NPI | 1851399448 |
---|---|
Provider Name | Dr. Howard Fred Preuss JR. |
First Address | Floyds Knobs, IN 47119-9692 |
Second Address | Floyds Knobs, IN 47119-9692 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2005 |
Last Update Date | 11/10/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100116360A | (05) | IN |
80001886 | (05) | KY |
T34648 | (02) |