Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 34003653 | OH |
NPI | 1083713200 |
---|---|
Provider Name | Dr. Jeffrey Edward Binder |
First Address | North Olmsted, OH 44070 |
Second Address | North Olmsted, OH 44070 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2006 |
Last Update Date | 07/07/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
020007027 | MEDICARE RAILROAD (01) | OH |
0670920 | (05) | OH |
A16973 | (02) |