Jerod M Theobald
Jerod M Theobald is a Student in an Organized Health Care Education/Training Program in Cincinnati, Ohio. Practices as a sole proprietor. Licensed in Ohio.
- Licensed in
- OH
- In the registry since
- 2024
Practice location Address checks out
1501 Madison RdCincinnati, OH 45206
Phone: (513) 354-5200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X · Licence C.2406146-TRNE (OH) |
|---|
Record details
| NPI number | 1376369280 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 25, 2024 |
| Last updated in NPPES | November 25, 2024 |
| Certification date | November 25, 2024 |
| Mailing address | 1501 Madison Rd, Cincinnati, OH 45206 |
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