Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 35.129388 | OH |
N | 111NI0900X | Internist | 35.129388 | OH |
N | 207RA0401X | Internist - Addiction Medicine | 35.129388 | OH |
NPI | 1174942072 |
---|---|
Provider Name | Brian Rasmussen |
First Address | Cincinnati, OH 45242-4402 |
Second Address | Cincinnati, OH 45242 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2014 |
Last Update Date | 29/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0128555 | (05) | OH |
2565399 | (05) | OH |