Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 35051507 | OH |
NPI | 1013043546 |
---|---|
Provider Name | Sidney L Couling |
First Address | Westerville, OH 43082-8642 |
Second Address | Westerville, OH 43082-8642 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2007 |
Last Update Date | 02/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0633381 | (05) | OH |