Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 4301094835 | MI |
Y | 207VX0000X | Obstetrician | 25582 | WV |
NPI | 1295963213 |
---|---|
Provider Name | Lea Katrin Harms |
First Address | Wheeling, WV 26003-3823 |
Second Address | Wheeling, WV 26003-3859 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2009 |
Last Update Date | 26/05/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0094606 | (05) | OH |
3810026839 | (05) | WV |
H309461 | (02) | OH |