Healthcare Provider Details

I. General information

NPI: 1275641300
Provider Name (Legal Business Name): JAMES JACOB KREINDLER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2006
Last Update Date: 09/30/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10945 REED HARTMAN HWY SUITE 209
CINCINNATI OH
45242-2828
US

IV. Provider business mailing address

10945 REED HARTMAN HWY SUITE 209
CINCINNATI OH
45242-2828
US

V. Phone/Fax

Practice location:
  • Phone: 513-474-8500
  • Fax: 513-474-8502
Mailing address:
  • Phone: 513-474-8500
  • Fax: 513-474-8502

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License Number35. 038518
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: