Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | C1-0001765 | DE |
NPI | 1003848474 |
---|---|
Provider Name | Dr. William John Geimeier |
First Address | Newark, DE 19713-2210 |
Second Address | Newark, DE 19713-2210 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0000048901 | (05) | DE |
0078796000 | AMERIHEALTH (01) | |
397142 | MAMSI (01) | |
511251 | AETNA (01) | |
B66416 | (02) | DE |