Provider Demographics
NPI:1124136205
Name:WERLING, STEVEN JOSEPH (DO)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:JOSEPH
Last Name:WERLING
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 E ASH ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:PIQUA
Mailing Address - State:OH
Mailing Address - Zip Code:45356-4144
Mailing Address - Country:US
Mailing Address - Phone:937-615-9998
Mailing Address - Fax:937-615-9500
Practice Address - Street 1:1301 E ASH ST
Practice Address - Street 2:SUITE C
Practice Address - City:PIQUA
Practice Address - State:OH
Practice Address - Zip Code:45356
Practice Address - Country:US
Practice Address - Phone:937-615-9998
Practice Address - Fax:937-615-9500
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-28
Last Update Date:2018-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34-00-6907-W208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2134078Medicaid
OHWE 0874623Medicare PIN
OH2134078Medicaid