Provider Demographics
NPI:1679755698
Name:J B WINTERS DO LLC
Entity Type:Organization
Organization Name:J B WINTERS DO LLC
Other - Org Name:JENNIFER B WINTERS DO
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT / PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:B
Authorized Official - Last Name:WINTERS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:513-892-9222
Mailing Address - Street 1:855 EATON AVE
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45013-4603
Mailing Address - Country:US
Mailing Address - Phone:513-892-9222
Mailing Address - Fax:513-892-9009
Practice Address - Street 1:855 EATON AVE
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45013-4603
Practice Address - Country:US
Practice Address - Phone:513-892-9222
Practice Address - Fax:513-892-9009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-30
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHJ9353561Medicare PIN
OHDD7253Medicare PIN