Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | 35-0445858 | OH |
NPI | 1053331124 |
---|---|
Provider Name | Kingman P Strohl |
First Address | Euclid, OH 44117-1714 |
Second Address | Cleveland, OH 44106-1716 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2006 |
Last Update Date | 13/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000224334 | UNISON (01) | OH |
000000539620 | ANTHEM (01) | OH |
0480608 | (05) | OH |
0640226 | AETNA (01) | OH |
364058 | WELLCARE (01) | OH |
700006845 | RAILROAD MEDICARE (01) | OH |
745500 | BUCKEYE (01) | OH |
B97195 | (02) |