Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 34006629 | OH |
NPI | 1225012719 |
---|---|
Provider Name | Jeffrey E Gittins |
First Address | Westerville, OH 43081-1397 |
Second Address | Columbus, OH 43212 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2005 |
Last Update Date | 12/05/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2306990 | (05) | OH |
GI4082985 | (02) | OH |
H23841 | (02) | OH |