Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0401X | Internist - Addiction Medicine | 34.004690 | OH |
N | 207V00000X | Obstetrician & Gynecologist | 34.004690 | OH |
NPI | 1417933490 |
---|---|
Provider Name | Dr. James Frederick Guenther |
First Address | Cincinnati, OH 45206-2348 |
Second Address | Lancaster, OH 43130-4005 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2005 |
Last Update Date | 18/12/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0733488 | (05) | OH |
311274950 | TAX I.D. (01) | OH |
E 29550 | (02) | OH |