Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 01031964A | IN |
N | 207VG0400X | Gynecologist | 01031964A | IN |
N | 207VX0000X | Obstetrician | 01031964A | IN |
NPI | 1346357779 |
---|---|
Provider Name | John P Norris |
First Address | Franklin, IN 46131-2140 |
Second Address | Franklin, IN 46131-2140 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2006 |
Last Update Date | 24/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100083030A | (05) | IN |
86199 | ANTHEM (01) | IN |
C24525 | (02) | IN |