Dr. Jennifer Ann Mittlestead
Obstetrician
5701 Far Hills Ave
Dayton
, Ohio 45429-2207
Dr. Jennifer Ann Mittlestead
Obstetrician
5701 Far Hills Ave
Dayton
, Ohio 45429-2207
(937) 435-6222
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About
Features
Specialties
- Obstetrician
Languages spoken
- English
Location
First Address
- Dr. Jennifer Ann Mittlestead
- 5701 Far Hills Ave
- Dayton, OH
- Zip : 45429-2207
- Phone : (937) 435-6222
Second Address
- Dr. Jennifer Ann Mittlestead
- 5701 Far Hills Ave
- Dayton, OH
- Zip : 45429-2207
- Phone : (937) 435-6222
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VX0000X | Obstetrician | 35.125512 | OH |
National Provider Identifier
| NPI | 1295024131 |
|---|---|
| Provider Name | Dr. Jennifer Ann Mittlestead |
| First Address | Dayton, OH 45429-2207 |
| Second Address | Dayton, OH 45429-2207 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/03/2011 |
| Last Update Date | 28/07/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2147224 | GROUP MEDICAID (01) | OH |
| 9271701 | GROUP MEDICARE (01) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.