Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 01041659A | IN |
Y | 207VG0400X | Gynecologist | 01041659 | IN |
NPI | 1023125440 |
---|---|
Provider Name | Emily D Cline |
First Address | Franklin, IN 46131-2140 |
Second Address | Whiteland, IN 46184-1546 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2006 |
Last Update Date | 19/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200068370A | (05) | IN |
91506 | ANTHEM (01) | IN |
G33359 | (02) | IN |