Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 036-112118 | IL |
Y | 207P00000X | Emergency Physician | MD036599 | DC |
NPI | 1003831496 |
---|---|
Provider Name | Todd Templeman |
First Address | Washington, DC 20010-3017 |
Second Address | Washington, DC 20010-3017 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 01/07/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
P00706333 | MEDICARE RAILROAD (01) | DC |