Provider Demographics
NPI:1699749424
Name:HARBRECHT, JEFFREY D (MD)
Entity type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:D
Last Name:HARBRECHT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5400 FRANTZ RD
Mailing Address - Street 2:STE 250
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-4144
Mailing Address - Country:US
Mailing Address - Phone:614-544-6155
Mailing Address - Fax:614-544-6370
Practice Address - Street 1:500 THOMAS LN
Practice Address - Street 2:SUITE 3C
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-3902
Practice Address - Country:US
Practice Address - Phone:614-538-2222
Practice Address - Fax:614-538-2233
Is Sole Proprietor?:No
Enumeration Date:2006-02-16
Last Update Date:2022-01-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35065043H208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0929366Medicaid
OH1900228OtherUHC
OH000000116898OtherANTHEM
OH0929366Medicaid
OH1900228OtherUHC
OH000000116898OtherANTHEM