Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 35-062066 | OH |
NPI | 1538193487 |
---|---|
Provider Name | Jeffrey L Sunshine |
First Address | Euclid, OH 44117-1714 |
Second Address | Cleveland, OH 44106-1716 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 16/11/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000210265 | UNISON (01) | OH |
000000503594 | ANTHEM (01) | OH |
0304914 | BCMH (01) | OH |
1538193487 | (05) | MI |
2098804 | (05) | OH |
364067 | WELLCARE (01) | OH |
3810016806 | (05) | WV |
5492258 | AETNA (01) | OH |
740562 | BUCKEYE (01) | OH |
G57932 | (02) | |
P00358865 | RAILROAD MEDICARE (01) | OH |
Q62066 | (05) | SC |