Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | LPO35 | OH |
N | 222Z00000X | Podiatrist | LPO35 | OH |
Y | 224P00000X | Prosthetist | LPO35 | OH |
NPI | 1023359551 |
---|---|
Provider Name | Joseph Garcia |
First Address | Akron, OH 44333-4557 |
Second Address | Akron, OH 44333-4557 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2013 |
Last Update Date | 07/03/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2002871 | (05) | OH |