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NPI Code Detail

MEDICARE: JERRY W NEIN MD

MEDICARE: JERRY W NEIN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician26925KY
2208D00000XGeneral Practice Physician26925KY

General Provider Information

NPI Number : 1336201862
Entity Type Code : Individual
Provider Name (Legal Business Name) : JERRY W NEIN MD
Provider Business Mailing Address
First Line : 2950 ROBERTSON AVE STE 2
Second Line :
City : CINCINNATI
State : OH
Zip : 45209-1267
Country : US
Telephone Number : 513-281-4400
Fax Number : 513-281-4832
Provider Business Practice Location Address
First Line : 222 PHILLIP STONE WAY
Second Line :
City : CENTRAL CITY
State : KY
Zip : 42330-1929
Country : US
Telephone Number : 270-754-3494
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2006
Last Update Date : 03/22/2021

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