Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 34001975 | OH |
N | 207QA0401X | Family Doctor - Addiction Medicine | 34001975 | OH |
NPI | 1558312496 |
---|---|
Provider Name | Howard J Bellin |
First Address | Columbus, OH 43216-6370 |
Second Address | Columbus, OH 43219-3387 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2006 |
Last Update Date | 09/05/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0196069 | (05) | OH |
E00589 | (02) | |
E00589 | (02) | OH |