HEALTHSOURCE OF OHIO INC. NPI 1780701417

NPI Information

HEALTHSOURCE OF OHIO, INC. is a primary care clinic center in Cincinnati, OH. HEALTHSOURCE OF OHIO, INC. NPI is 1780701417. The provider is registered as an organization entity type.
The provider Is Doing Business As Healthsource: Eastgate Pediatrics.

The provider's business location address is:

4627 AICHOLTZ RD
CINCINNATI, OH
ZIP 45244-447
Phone: (513) 753-2820
Fax: (513) 753-2824

The provider's authorized official is William Marois .
The authorized official title is Cfo and has the following contact phone number (513) 576-7700.

The enumeration date for this NPI number is 3/26/2007 and was last updated on 4/30/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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