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Contact Information

ALAN J ANNENBERG, MD
4030 SMITH RD
SUITE 300
CINCINNATI, OH45209-1957
 Phone: 513-421-3494
 Fax: 513-345-2606
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ALAN J ANNENBERG · (Male)

NPI Number 1891729158
Status Active
Credentials MD
Entity Individual
Enumeration date 07/10/2006
Last updated 12/10/2014 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 25980
  • OH License # 35049257A
  • IN Medicaid 200001270
  • OH Medicaid 0695636
  • Other 000000211187 ANTHEM
  • Other 310804060032 CARESOURCE
  • Other 49257 CHOICE CARE/HUMANA
  • Other 8330 KY BCBS
  • Other 1702166 UNITED HEALTHCARE
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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