MEDICARE: DR. WILLIAM B SALT II MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	35035077	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568456804
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM B SALT II MD

Provider Business Mailing Address
First Line	:	630 MOHAWK ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43206-1153
Country	:	US
Telephone Number	:	614-746-4520
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 E MAIN ST
Second Line	:	140
City	:	COLUMBUS
State	:	OH
Zip	:	43215-5369
Country	:	US
Telephone Number	:	614-427-3161
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/01/2005
Last Update Date	:	03/31/2016

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