Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 35080438M | OH |
N | 207QA0401X | Family Doctor - Addiction Medicine | 35.080438 | OH |
NPI | 1366434391 |
---|---|
Provider Name | Jeffrey W Merling |
First Address | Cincinnati, OH 45249-2306 |
Second Address | Cincinnati, OH 45249-2306 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2005 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2461492 | (05) | OH |
H59708 | (02) | OH |