Fackler, Jon Richard
Fackler, Jon Richard is an individual health care provider with primary practice located at 11135 Montgomery Rd , Cincinnati OH 45249-2338. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Fackler, Jon Richard can be contacted via phone (513) 793-2220.Contact Information
Primary practice address
11135 Montgomery Rd
Cincinnati OH 45249-2338
Phone: (513) 793-2220
Fax: (513) 793-5933
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 35.056413 | Ohio |
Profile Details
| NPI number | 1497784722 |
|---|---|
| LBN Legal business name | Fackler, Jon Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2006 |
| Last updated | Jul 6th, 2015 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497784722 | NPPES |
| Ohio | MEDICAID | 01272689030 |
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