Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 35-028367 | OH |
N | 111NI0900X | Internist | 35-028367 | OH |
Y | 207RR0500X | Rheumatology | 35-028367 | OH |
NPI | 1134185911 |
---|---|
Provider Name | Dr. John Lawrence Houk |
First Address | Cincinnati, OH 45263-6256 |
Second Address | Cincinnati, OH 45219-4231 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2006 |
Last Update Date | 09/08/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0225349 | (05) | OH |
100003700 | (05) | IN |
64735772 | (05) | KY |
660003519 | RAIL ROAD MEDICARE (01) | OH |
D31933 | (02) |