Provider Demographics
NPI:1740542232
Name:DUENSING, H JEDIDIAH (DO)
Entity type:Individual
Prefix:
First Name:H
Middle Name:JEDIDIAH
Last Name:DUENSING
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 639295 DEPT 93394
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-9295
Mailing Address - Country:US
Mailing Address - Phone:540-315-1668
Mailing Address - Fax:855-998-8574
Practice Address - Street 1:5401 FALLOWATER LN STE E
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-0949
Practice Address - Country:US
Practice Address - Phone:540-315-1668
Practice Address - Fax:855-998-8574
Is Sole Proprietor?:No
Enumeration Date:2012-06-12
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MET1278207Q00000X
VA0102204298207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine