Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 35.132707 | OH |
N | 207RX0202X | Medical Oncology | J3859 | TX |
NPI | 1164464269 |
---|---|
Provider Name | Dr. John Joseph Nemunaitis |
First Address | Toledo, OH 43614-2426 |
Second Address | Toledo, OH 43614-8009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2006 |
Last Update Date | 22/01/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
134352701 | (05) | TX |
134352702 | (05) | TX |
134352705 | (05) | TX |
134352706 | (05) | TX |
8R1513 | BLUE CROSS OF TEXAS (01) | TX |
B66072 | (02) |