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NPI Code Detail

MEDICARE: MR. DAVID WILLIAM JAHN MD

MEDICARE: MR. DAVID WILLIAM JAHN 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
12084P0800XPsychiatry Physician35063977OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2000000128107OTHEROHANTHEM BCBS

General Provider Information

NPI Number : 1508802224
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DAVID WILLIAM JAHN MD
Provider Business Mailing Address
First Line : 6605 WEST CENTRAL AVENUE
Second Line :
City : TOLEDO
State : OH
Zip : 43617-1000
Country : US
Telephone Number : 419-841-7701
Fax Number : 419-841-1691
Provider Business Practice Location Address
First Line : 6605 WEST CENTRAL AVENUE
Second Line :
City : TOLEDO
State : OH
Zip : 43617-1000
Country : US
Telephone Number : 419-841-7701
Fax Number : 419-841-1691
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2006
Last Update Date : 02/11/2008

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