Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 35-053945 | OH |
N | 207RA0401X | Internist - Addiction Medicine | 35.053945 | OH |
NPI | 1164403317 |
---|---|
Provider Name | Joseph D Sanchez |
First Address | Cincinnati, OH 45206-2348 |
Second Address | Cincinnati, OH 45212 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2005 |
Last Update Date | 12/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0786083 | (05) | OH |
C81672 | (02) | OH |