Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 35.136222 | OH |
Y | 2084N0402X | Child Neurologist | 35.136222 | OH |
NPI | 1164867057 |
---|---|
Provider Name | Melissa L Hutchinson |
First Address | Columbus, OH 43205-2664 |
Second Address | Columbus, OH 43205-2664 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2013 |
Last Update Date | 04/02/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0344547 | (05) | OH |
H726460 | CGS-MEDICARE (01) | OH |