Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 35.055230A | OH |
NPI | 1033184478 |
---|---|
Provider Name | Ian J Alexander |
First Address | Columbus, OH 43202-1579 |
Second Address | Columbus, OH 43203-1278 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2006 |
Last Update Date | 25/10/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0665007 | (05) | OH |
E39995 | (02) |