Jennings, Michael Robert

Jennings, Michael Robert is an individual health care provider with primary practice located at 237 William Howard Taft Rd Rm 3-064 , Cincinnati OH 45219-2610. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Jennings, Michael Robert can be contacted via phone (513) 263-8590.

Contact Information

Primary practice address
237 William Howard Taft Rd Rm 3-064 Cincinnati OH 45219-2610
Fax: (513) 272-0362
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 54265 Kentucky
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35049135 Ohio

Profile Details

NPI number 1356348569
LBN Legal business name Jennings, Michael Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Oct 21st, 2020 - about 4 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 1356348569 NPPES
Ohio MEDICAID 0678539
Ohio MEDICAID 64062169

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