Individual
JANNETTE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
234 GOODMAN STREET, CINCINNATI, OH 45219
(513) 584-4396
(513) 584-0431
Mailing address
3200 BURNET AVE, 3 SOUTH, CINCINNATI, OH 45229-3019
(513) 585-5501
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
31295
WI
2085R0202X
Diagnostic Radiology Physician
Primary
35-092719
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0230904
—
OH
Enumeration date
03/09/2006
Last updated
12/27/2012
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