Fichtenbaum, Carl Jack

Fichtenbaum, Carl Jack is an individual health care provider with primary practice located at 200 Albert Sabin Way # 405, Cincinnati OH 45267-2800. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Fichtenbaum, Carl Jack can be contacted via phone (513) 584-6977.

Contact Information

Primary practice address
200 Albert Sabin Way # 405 Cincinnati OH 45267-2800
Phone: (513) 584-6977
Fax: (513) 584-6040
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35-076757 Ohio
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 35-076757 Ohio
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35-076757 Ohio

Profile Details

NPI number 1073578951
LBN Legal business name Fichtenbaum, Carl Jack
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Mar 27th, 2014 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073578951 NPPES
Ohio MEDICAID 2147484
Ohio MEDICAID 64005580
Ohio Other 010064796
Ohio MEDICAID 200252570

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