Paul Russell Jennewine in Middletown - Internal Medicine

Paul Russell Jennewine - NPI 1790765725

Paul Russell Jennewine is a Internal Medicine in Middletown, Ohio. Paul Russell Jennewine practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Paul Russell Jennewine is 1790765725. The last update date is 2014-11-18.

Paul Russell Jennewine's current location address is 200 N Breiel Blvd, Middletown, Ohio. You can contact this provider via phone number 5134242535 and fax number 5134240363. The mailing address for Paul Russell Jennewine is 200 N Breiel Blvd, Middletown, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Paul Russell Jennewine
Address 200 N Breiel Blvd, Middletown, Ohio
Phone Number 5134242535
Fax Number 5134240363
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1790765725
Provider Enumeration Date 2006-01-17
Last Updated Date 2014-11-18

Provider Mailing Address Detail

Address 200 N Breiel Blvd
City Middletown
State Ohio (OH)
Post Code 450423808
Phone Number 5134242535
Fax Number 5134240363

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 35.072062
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2076962 OH --

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FAQs about Paul Russell Jennewine

What is the unique 10-digit identification code issued to Paul Russell Jennewine by the Centers for Medicare & Medicaid Services?

The Paul Russell Jennewine has been assigned the NPI (National Provider Identifier) 1790765725 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Paul Russell Jennewine's facilities are situated?

The facilities of Paul Russell Jennewine are physically located at the following address: 200 N Breiel Blvd, Middletown, OH, 450423808.

What is Paul Russell Jennewine's specialized field of practice, and what is the corresponding taxonomy classification code?

The Paul Russell Jennewine's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.

When did the Paul Russell Jennewine receive its 1790765725?

The Paul Russell Jennewine was issued its 1790765725 on 2006-01-17, which is the date when the organization was assigned this unique identifier.

When was the information pertaining to Paul Russell Jennewine most recently updated or revised?

The details related to Paul Russell Jennewine, including its address, specialty, and other relevant information, were last updated or revised on 2014-11-18.

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