Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 002453 | OH |
Y | 222Z00000X | Podiatrist | 002453 | OH |
NPI | 1043219306 |
---|---|
Provider Name | Dr. Thomas J Mccabe |
First Address | Toledo, OH 43613-1804 |
Second Address | Toledo, OH 43613-1804 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2005 |
Last Update Date | 04/08/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0675943 | (05) | OH |
T80663 | (02) |