Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 01049089A | IN |
NPI | 1033147228 |
---|---|
Provider Name | John Berkley Chambers |
First Address | Columbus, IN 47201-2610 |
Second Address | Columbus, IN 47201-2610 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2006 |
Last Update Date | 24/08/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
004003 | SIHO (01) | IN |
200040849 | RAILROAD MEDICARE (01) | IN |
200151800 | (05) | IN |
G60919 | (02) | IN |