Doctor Name: | JINNY OH |
NPI Number: | 1447419676 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | |
Business Practice Address: | 1200 E Michigan Ave Suit 370 Lansing, MI - 489121800 |
Business Phone Number: | 5174840291 |
Business Fax Number: | |
Mailing Address: | 3500 Beaumont Park Dr, Apt 203 EAST LANSING |
State: | MI |
Postal Code: | 488238037 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/03/2008 |
NPI Last Update Date: | 01/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |