Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 35.099383 | OH |
Y | 2080P0214X | Pediatric Pulmonologist | 35.099383 | OH |
NPI | 1427291095 |
---|---|
Provider Name | John Brewington |
First Address | Cincinnati, OH 45229-3026 |
Second Address | Cincinnati, OH 45229-3026 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2009 |
Last Update Date | 14/02/2017 |