Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | OH35-05-0631 V | OH |
NPI | 1013909514 |
---|---|
Provider Name | Dr. John H Vetter |
First Address | Columbus, OH 43210-1229 |
Second Address | Columbus, OH 43213-1531 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2005 |
Last Update Date | 06/12/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6196165 | (05) | OH |
E29722 | (02) |