Individual
JAN SPORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4750 E GALBRAITH RD, STE. 207, CINCINNATI, OH 45236-6705
(513) 686-4840
(513) 686-4848
Mailing address
4750 E GALBRAITH RD, STE. 207, CINCINNATI, OH 45236-6705
(513) 686-4840
(513) 686-4848
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35047408S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0496011
—
OH
05
—
64789019
—
KY
01
—
P00919599
MEDICARE RR
OH
Enumeration date
04/25/2006
Last updated
08/29/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us