Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | 118187 | NY |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 28167 | WV |
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | 68290 | WI |
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | M-1859 | GU |
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | MD61132366 | WA |
NPI | 1063457950 |
---|---|
Provider Name | Dr. Ronald J Innerfield |
First Address | Huntington, WV 25701-3662 |
Second Address | Huntington, WV 25701 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2006 |
Last Update Date | 29/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02760016 | (05) | NY |
E15407 | (02) |