Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 35075173 | OH |
NPI | 1003804329 |
---|---|
Provider Name | Mr. Brett E Toward |
First Address | Mansfield, OH 44906-2633 |
Second Address | Mansfield, OH 44906-2633 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2005 |
Last Update Date | 14/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000223910 | ANTHEM (01) | OH |
0109044 | UNITEDHEALTHCARE (01) | OH |
03676 | PARAMOUNT (01) | OH |
080183772 | RAILROAD MEDICARE (01) | OH |
2100550 | (05) | OH |
9337408 | CIGNA (01) | HI |
G97886 | (02) | OH |