Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 4311 | OH |
N | 152W00000X | Optometrist | T106 | OH |
NPI | 1013092279 |
---|---|
Provider Name | Faith O. Salyer |
First Address | Troy, OH 45373-2067 |
Second Address | Troy, OH 45373-2067 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2006 |
Last Update Date | 14/04/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2619018 | (05) | OH |
U21741 | (02) |