Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 01048040A | IN |
NPI | 1134121569 |
---|---|
Provider Name | Dr. John E. Duplantier |
First Address | Charlotte, NC 28260-3725 |
Second Address | Greenwood, IN 46143-6273 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2005 |
Last Update Date | 14/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200169640 | (05) | IN |
G37606 | (02) | IN |