Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 10761 | AL |
NPI | 1013909522 |
---|---|
Provider Name | Jed L Kaplan |
First Address | Gadsden, AL 35903-1107 |
Second Address | Gadsden, AL 35903-1107 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2005 |
Last Update Date | 03/12/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100004215 | RAILROAD MEDICARE (01) | AL |
529603810 | (05) | AL |
C72963 | (02) | AL |