Hautzenroeder, Jon Philip

Hautzenroeder, Jon Philip is an individual health care provider with primary practice located at 2139 Auburn Ave , Cincinnati OH 45219-2906. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family Health, which is considered as his primary health care specialty. Hautzenroeder, Jon Philip can be contacted via phone (513) 585-2341.

Contact Information

Primary practice address
2139 Auburn Ave Cincinnati OH 45219-2906
Phone: (513) 585-2341
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family Health 364SF0001X APRN.CNP.022892 Ohio

Profile Details

NPI number 1205300886
LBN Legal business name Hautzenroeder, Jon Philip
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2019
Last updated Jan 16th, 2019 - about 7 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 1205300886 NPPES
Other F04180312 AMERICAN ASSOCIATION OF NURSE PRACTITIONERS

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