Individual
DR. PAUL STEELE NISWANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3006 N HIGH ST STE C, COLUMBUS, OH 43202-1145
(614) 447-9671
(614) 261-9074
Mailing address
3006 N HIGH ST STE C, COLUMBUS, OH 43202-1145
(614) 447-9671
(614) 261-9074
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A-0153
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000208835
ANTHEM BLUE CROSS
OH
01
—
0524025
BCMH
OH
05
—
0524025
—
OH
Enumeration date
05/05/2007
Last updated
07/09/2007
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