Healthcare Provider Details

I. General information

NPI: 1962777326
Provider Name (Legal Business Name): JEANNE-MARIE SINNOTT D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/19/2012
Last Update Date: 02/04/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2865 N REYNOLDS RD SUITE 140
TOLEDO OH
43615-2068
US

IV. Provider business mailing address

2865 N REYNOLDS RD SUITE 140
TOLEDO OH
43615-2068
US

V. Phone/Fax

Practice location:
  • Phone: 419-578-7590
  • Fax:
Mailing address:
  • Phone: 419-578-7590
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number20A12937
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number011843
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: