Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 34013823 | OH |
NPI | 1053707414 |
---|---|
Provider Name | Jodi Bender |
First Address | Westerville, OH 43081-8958 |
Second Address | Westerville, OH 43081-8958 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2015 |
Last Update Date | 02/02/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0361378 | (05) | OH |