Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 35029270 | OH |
N | 111NI0900X | Internist | 35029270 | OH |
Y | 207RA0401X | Internist - Addiction Medicine | 852143 | OH |
NPI | 1538185004 |
---|---|
Provider Name | Judith Jean Held |
First Address | Delaware, OH 43015 |
Second Address | Delaware, OH 43015 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2006 |
Last Update Date | 16/05/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000117598 | ANTHEM (01) | OH |
0130469 | (05) | OH |
A83290 | (02) |