Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 35.094277 | OH |
Y | 207VX0201X | Gynecologic Oncologist | 35094277 | OH |
NPI | 1124231998 |
---|---|
Provider Name | Floortje Jenniskens Backes |
First Address | Columbus, OH 43202-1559 |
Second Address | Hilliard, OH 43026 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2007 |
Last Update Date | 24/02/2021 |