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NPI Code Detail

MEDICARE: DR. JENNIFER GREENSLADE HOHMAN M.D.

MEDICARE: DR. JENNIFER GREENSLADE HOHMAN M.D.
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
1207Q00000XFamily Medicine Physician35077157GOH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
64051025OTHEROHMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
134-1933718OTHEROHTAX ID
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3000000301963OTHEROHANTHEM
447733OTHEROHCORE SOURCE
5B77157OTHEROHSUMMACARE

General Provider Information

NPI Number : 1740253442
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNIFER GREENSLADE HOHMAN M.D.
Provider Business Mailing Address
First Line : PO BOX 378
Second Line :
City : SANDUSKY
State : OH
Zip : 44871-0378
Country : US
Telephone Number : 419-609-1112
Fax Number : 419-609-1123
Provider Business Practice Location Address
First Line : 1479 N RIVER RD
Second Line :
City : FREMONT
State : OH
Zip : 43420-9760
Country : US
Telephone Number : 419-355-9440
Fax Number : 419-355-9443
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2006
Last Update Date : 04/30/2021

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