Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 36 002487 | OH |
N | 222Z00000X | Podiatrist | 36 002487 | OH |
N | 213EP1101X | Primary Podiatric Medicine | 36 002487 | OH |
N | 213ES0131X | Foot Surgery | 36 002487 | OH |
NPI | 1366553919 |
---|---|
Provider Name | Dr. Steven Walter Irwin |
First Address | Westerville, OH 43081-3106 |
Second Address | Chillicothe, OH 45601-8608 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T80645 | (02) | OH |