Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 35.123884 | OH |
Y | 2080N0001X | Neonatal-Perinatal Doctor | 35.123884 | OH |
NPI | 1124312087 |
---|---|
Provider Name | Melissa House |
First Address | Cincinnati, OH 45229-3026 |
Second Address | Cincinnati, OH 45229-3026 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2011 |
Last Update Date | 27/11/2018 |