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Contact Information

JACOB K CRITTENDEN III, MD
621 TUSCULUM AVE
CINCINNATI, OH45226-1771
 Phone: 702-232-2336
 Fax: 702-646-3243
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JACOB K CRITTENDEN III · (Male)

NPI # 1376931105
Status Active
Credentials MD
Entity Individual
Enumeration date 01/01/2015
Last updated 01/01/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ME 86453
  • KY License # 16223
  • OH License # 35.043691
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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