Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 35-054130 | OH |
NPI | 1053307066 |
---|---|
Provider Name | Jane L Emerick |
First Address | Westerville, OH 43082-9808 |
Second Address | Westerville, OH 43082 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2005 |
Last Update Date | 26/07/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0746723 | (05) | OH |
A78861 | (02) | OH |