Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 01048586 | IN |
NPI | 1003870320 |
---|---|
Provider Name | Dr. Sue H Webster |
First Address | Winchester, IN 47394-2225 |
Second Address | Winchester, IN 47394-2225 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2006 |
Last Update Date | 03/03/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G74512 | (02) | IN |