Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 36-00-2856 | OH |
Y | 222Z00000X | Podiatrist | 36-00-2856 | OH |
N | 213ES0103X | Foot & Ankle Surgery | 36-00-2856 | OH |
NPI | 1033109418 |
---|---|
Provider Name | Earl L Driggs |
First Address | Dublin, OH 43016-4141 |
Second Address | Athens, OH 45701-2857 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2005 |
Last Update Date | 16/12/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0972550 | (05) | OH |
U49558 | (02) | OH |