Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0120X | Pediatric Surgery | 0101240523 | VA |
Y | 2086S0120X | Pediatric Surgery | 01080418 | IN |
N | 2086S0120X | Pediatric Surgery | 19599 | WV |
NPI | 1275501231 |
---|---|
Provider Name | John E. Dinsmore |
First Address | Huntington, WV 25701-3656 |
Second Address | Huntington, WV 25701-3656 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2006 |
Last Update Date | 05/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1275501231 | (05) | VA |
H54712 | (02) | CA |