Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 35.123624 | OH |
NPI | 1104040732 |
---|---|
Provider Name | Dr. Michael C Kachmann |
First Address | Cincinnati, OH 45264-3398 |
Second Address | Cincinnati, OH 45209-1287 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2007 |
Last Update Date | 09/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0116990 | (05) | OH |
310588183015 | TRICARE (01) | OH |