Provider Demographics
NPI:1669475547
Name:SINNING, HERBERT MARTIN (MD)
Entity Type:Individual
Prefix:DR
First Name:HERBERT
Middle Name:MARTIN
Last Name:SINNING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4447 STATE ROUTE 159
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-8620
Mailing Address - Country:US
Mailing Address - Phone:740-774-3100
Mailing Address - Fax:740-774-2285
Practice Address - Street 1:4447 STATE ROUTE 159
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-8620
Practice Address - Country:US
Practice Address - Phone:740-774-3100
Practice Address - Fax:740-774-2285
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-24
Last Update Date:2013-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35059494208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0781604Medicaid
OH0781604Medicaid
OHSI0675841Medicare PIN