Jennewine, Paul Russell
Jennewine, Paul Russell is an sole proprietor health care provider with primary practice located at 200 N Breiel Blvd , Middletown OH 45042-3808. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Jennewine, Paul Russell can be contacted via phone (513) 424-2535.Contact Information
Primary practice address
200 N Breiel Blvd
Middletown OH 45042-3808
Phone: (513) 424-2535
Fax: (513) 424-0363
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35.072062 | Ohio |
Profile Details
| NPI number | 1790765725 |
|---|---|
| LBN Legal business name | Jennewine, Paul Russell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 17th, 2006 |
| Last updated | Nov 18th, 2014 - about 12 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 | 1790765725 | NPPES |
| Ohio | MEDICAID | 2076962 |
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