Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | 01027636A | IN |
NPI | 1033188693 |
---|---|
Provider Name | Frank A Workman |
First Address | Greencastle, IN 46135-2212 |
Second Address | Greencastle, IN 46135-2212 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2006 |
Last Update Date | 09/05/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000653277 | ANTHEM (01) | IN |
100205700 | (05) | IN |
B28294 | (02) | IN |
P00202873 | RR MEDICARE (01) | IN |
P00689850 | RR MEDICARE (01) | IN |
P00831849 | RR MEDICARE (01) | IN |