Provider Demographics
NPI:1275744476
Name:OBRINGER, JOSEPH PAUL I
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:PAUL
Last Name:OBRINGER
Suffix:I
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 W MARKET ST
Mailing Address - Street 2:
Mailing Address - City:TIFFIN
Mailing Address - State:OH
Mailing Address - Zip Code:44883-2608
Mailing Address - Country:US
Mailing Address - Phone:419-447-2737
Mailing Address - Fax:419-447-3226
Practice Address - Street 1:440 W MARKET ST
Practice Address - Street 2:
Practice Address - City:TIFFIN
Practice Address - State:OH
Practice Address - Zip Code:44883-2608
Practice Address - Country:US
Practice Address - Phone:419-447-2737
Practice Address - Fax:419-447-3226
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies