Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 30 016414 | OH |
NPI | 1013130277 |
---|---|
Provider Name | Dr. Steven Christopher Emrich |
First Address | Westerville, OH 43082-8076 |
Second Address | Westerville, OH 43082-8076 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2007 |
Last Update Date | 08/07/2007 |