Breneman, John C

Breneman, John C is an individual health care provider with primary practice located at 234 Goodman St , Cincinnati OH 45219-2364. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Breneman, John C can be contacted via phone (513) 584-3494.

Contact Information

Primary practice address
234 Goodman St Cincinnati OH 45219-2364
Phone: (513) 584-3494
Fax: (513) 584-4007
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 35-05-1974 Ohio

Profile Details

NPI number 1922090075
LBN Legal business name Breneman, John C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Feb 8th, 2018 - about 8 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 1922090075 NPPES
West Virginia MEDICAID 0120692000
West Virginia MEDICAID 0591506
West Virginia MEDICAID 0000F5185
West Virginia MEDICAID 64785504
West Virginia Other 295801
West Virginia MEDICAID P8B037061
West Virginia Other 0655279
West Virginia Other 16-20999
West Virginia MEDICAID 200039460A
West Virginia Other 920000710

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