Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | DC. 2352 | OH |
NPI | 1144361361 |
---|---|
Provider Name | Dr. Thane Bee |
First Address | Centerville Finance, OH 45459-3922 |
Second Address | Springboro, OH 45066-2300 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000319375 | ANTHEM PIN NUMBER (01) | OH |
656160 | UHC PIN NUMBER (01) | OH |
66333 | (02) | OH |