Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 350422875 | OH |
NPI | 1023089026 |
---|---|
Provider Name | Thomas M Schrimpf |
First Address | Cincinnati, OH 45248-4346 |
Second Address | Cincinnati, OH 45248-4346 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/01/2006 |
Last Update Date | 21/07/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0492917 | (05) | OH |
100010770A | (05) | IN |
A80421 | (02) | OH |