Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 35124975 | OH |
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | G33724 | CA |
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | N2118 | TX |
NPI | 1023036076 |
---|---|
Provider Name | Willa A. Hsueh |
First Address | Columbus, OH 43202-1559 |
Second Address | Columbus, OH 43203-1278 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 28/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G337240 | (05) | CA |
0111429 | (05) | OH |
1023036076 | BLUE CROSS BLUE SHIELD (01) | TX |
211498501 | (05) | TX |
211498502 | (05) | TX |
A45655 | (02) | CA |