Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 35.045013 | OH |
NPI | 1003888215 |
---|---|
Provider Name | Luana Jane Hess |
First Address | Bowling Green, OH 43402-2243 |
Second Address | Bowling Green, OH 43402-2603 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2006 |
Last Update Date | 26/02/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0431410 | (05) | OH |
A79675 | (02) | OH |