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NPI Code Detail

MEDICARE: PODIATRY OF HAMILTON INC

MEDICARE: PODIATRY OF HAMILTON INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213E00000XPodiatrist1359OH
2213E00000XPodiatrist2794OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CH7777OTHERKYRAIL ROAD MEDICARE
2CA0586OTHEROHRAIL ROAD MEDICARE

Other Identifiers

General Provider Information

NPI Number : 1396841532
Entity Type Code : Organization
Provider Name (Legal Business Name) : PODIATRY OF HAMILTON INC
Provider Business Mailing Address
First Line : 6770 CINCINNATI DAYTON RD
Second Line : SUITE 201
City : LIBERTY TOWNSHIP
State : OH
Zip : 45044-9318
Country : US
Telephone Number : 513-729-4455
Fax Number : 513-644-4993
Provider Business Practice Location Address
First Line : 6770 CINCINNATI DAYTON RD
Second Line : SUITE 201
City : LIBERTY TOWNSHIP
State : OH
Zip : 45044-9318
Country : US
Telephone Number : 513-729-4455
Fax Number : 513-644-4993
Authorized Official
Title or Position : PRACTICE ADMINISTRATOR
Name : MRS. LONA K. BELTZ
Credential : MBA
Telephone Number : 513-644-7913
Provider Enumeration Date : 09/15/2006
Last Update Date : 05/19/2016

Similar Medicare Providers

1174515068 — KRISTIN K TITKO DPM
Practice Location Address:
6770 CINCINNATI DAYTON RD , SUITE 201
LIBERTY TOWNSHIP, OH
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1518003417 — DR. ADRIENNE Y MCCRAY D.O.
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1861621609 — DR. TIFFANI ANN JEPSON M.D.
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6770 CINCINNATI DAYTON RD
LIBERTY TOWNSHIP, OH
45044-9318
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1679852099 — LESLIE DAWN HAYNIE
Practice Location Address:
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1497175079 — MS. SUZANNE HOSKIN LPCC
Practice Location Address:
6770 CINCINNATI DAYTON RD STE 208
LIBERTY TOWNSHIP, OH
45044-9318
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Practice Fax:
1548670375 — BETH E LEE LISW.S
Practice Location Address:
6770 CINCINNATI DAYTON RD STE 208
LIBERTY TOWNSHIP, OH
45044-9318
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Practice Fax:

Directions to “PODIATRY OF HAMILTON INC ” Practice Location

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