Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 35126126 | OH |
N | 207RC0001X | Clinical Cardiac Electrophysiologist | C1-0008035 | DE |
N | 207RC0001X | Clinical Cardiac Electrophysiologist | MD417336 | PA |
NPI | 1144229345 |
---|---|
Provider Name | Bernard John Hynes |
First Address | Cincinnati, OH 45263-6930 |
Second Address | Lima, OH 45801-4602 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2005 |
Last Update Date | 12/09/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G99070 | (02) | IN |