Provider Demographics
NPI:1437439130
Name:PERRMANN, JASON
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:
Last Name:PERRMANN
Suffix:
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 1:4661 RUNNINGFAWN DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45247-7544
Mailing Address - Country:US
Mailing Address - Phone:513-276-3752
Mailing Address - Fax:
Practice Address - Street 1:2320 BOUDINOT AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45238-3417
Practice Address - Country:US
Practice Address - Phone:513-347-3359
Practice Address - Fax:513-347-3369
Is Sole Proprietor?:No
Enumeration Date:2011-08-25
Last Update Date:2011-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03328938183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist