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Individual
JOHN E DRAKE
Active
Individual
JOHN E DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
02001845A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000511990
ANTHEM PROVIDER ID# - WHC
IN
01
—
000000595615
ANTHEM
IN
05
—
200129910
—
IN
05
—
200493620
—
IN
01
—
3013250
OH MEDICAID
IN
01
—
P00690557
RAILROAD MEDICARE
IN
Enumeration date
07/19/2005
Last updated
01/21/2020
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