Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 4529 | NC |
N | 225XP0200X | Occupational Therapist - Pediatrics | 4529 | NC |
NPI | 1013067230 |
---|---|
Provider Name | Mr. John M. Huff |
First Address | Chapel Hill, NC 27517-8877 |
Second Address | Chapel Hill, NC 27514-5861 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2007 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7301491 | (05) | NC |
BLUE CROSS | 129M9 (01) | NC |