Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 35-047148 | OH |
NPI | 1033116827 |
---|---|
Provider Name | Dr. William S Pease |
First Address | Columbus, OH 43202-1559 |
Second Address | Columbus, OH 43210-1245 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2005 |
Last Update Date | 28/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0555402 | (05) | OH |
A80893 | (02) |