Provider Demographics
NPI:1063416733
Name:NOFTZ, JEFFREY B II (MD)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:B
Last Name:NOFTZ
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7595 COUNTY ROAD 236
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-8738
Mailing Address - Country:US
Mailing Address - Phone:419-724-1984
Mailing Address - Fax:419-728-3020
Practice Address - Street 1:1069 KLOTZ RD STE A
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:OH
Practice Address - Zip Code:43402-4832
Practice Address - Country:US
Practice Address - Phone:419-728-0110
Practice Address - Fax:419-728-0113
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35082989N207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHH056814OtherMEDICARE PTAN
OHDA5101OtherRR MEDICARE
OH2417094Medicaid
OHH056814OtherMEDICARE PTAN