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Individual

IRENE H CHENOWITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1402 BOETTLER RD, STE. C, UNIONTOWN, OH 44685-9584
(330) 899-0103
(330) 899-0268
Mailing address
1402 BOETTLER RD, STE. C, UNIONTOWN, OH 44685-9584
(330) 899-0103
(330) 899-0268

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-04-8962
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0531357
OH
01
0532103
MEDICARE ID
OH
01
0532104
MEDICARE ID
OH
Enumeration date
01/19/2006
Last updated
11/28/2011
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