Annenberg, Alan J
Annenberg, Alan J is an individual health care provider with primary practice located at 4030 Smith Rd Suite 300, Cincinnati OH 45209-1957. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Annenberg, Alan J can be contacted via phone (513) 421-3494.Contact Information
Primary practice address
4030 Smith Rd Suite 300
Cincinnati OH 45209-1957
Phone: (513) 421-3494
Fax: (513) 345-2606
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 35049257A | Ohio |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 25980 | Kentucky |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 35049257A | Ohio |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 25980 | Kentucky |
Profile Details
| NPI number | 1891729158 |
|---|---|
| LBN Legal business name | Annenberg, Alan J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Dec 10th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891729158 | NPPES |
| Other | 49257 | CHOICE CARE/HUMANA | |
| Other | 310804060032 | CHOICE CARE/HUMANA | |
| MEDICAID | 0695636 | CHOICE CARE/HUMANA | |
| Other | 1702166 | CHOICE CARE/HUMANA | |
| MEDICAID | 200001270 | CHOICE CARE/HUMANA | |
| Other | 8330 | CHOICE CARE/HUMANA | |
| Other | 000000211187 | CHOICE CARE/HUMANA |
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