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NPI Code Detail

MEDICARE: JACOB WILLIAM STROHL PA-C

MEDICARE: JACOB WILLIAM STROHL PA-C
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
1363A00000XPhysician Assistant50.008830RXOH
2363AM0700XMedical Physician Assistant50.008830RXOH

General Provider Information

NPI Number : 1841035656
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACOB WILLIAM STROHL PA-C
Provider Business Mailing Address
First Line : PO BOX 636256
Second Line :
City : CINCINNATI
State : OH
Zip : 45263-6256
Country : US
Telephone Number : 513-584-4268
Fax Number : 513-584-6452
Provider Business Practice Location Address
First Line : 3229 BURNET AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45229-3018
Country : US
Telephone Number : 513-584-4268
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2024
Last Update Date : 07/01/2024

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