Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225000000X | Orthotic Fitter |
NPI | 1972787323 |
---|---|
Provider Name | Mrs. Christine M Giesting |
First Address | Delaware, OH 43015-8692 |
Second Address | Delaware, OH 43015-8692 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/12/2007 |
Last Update Date | 22/02/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2881636 | (05) | OH |
6100010001 | MEDICARE PTAN (01) | OH |