Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 35 053762 | OH |
N | 207R00000X | Internist | 35 053762 | OH |
N | 111NI0900X | Internist | 35 053762 | OH |
NPI | 1093713638 |
---|---|
Provider Name | Jonathan A Bernstein |
First Address | Cincinnati, OH 45263-6256 |
Second Address | Cincinnati, OH 45231-4927 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2005 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E61028 | (02) |