Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 176B00000X | Midwife | NM05911 | OH |
NPI | 1033197728 |
---|---|
Provider Name | Mrs. Susan M. Smith |
First Address | Findlay, OH 45840-1208 |
Second Address | Findlay, OH 45840-1208 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2006 |
Last Update Date | 09/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2204537 | (05) | OH |