Healthcare Provider Details

I. General information

NPI: 1376263921
Provider Name (Legal Business Name): ARIN BLEVINS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2022
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10925 REED HARTMAN HWY STE 300
BLUE ASH OH
45242-2842
US

IV. Provider business mailing address

10925 REED HARTMAN HWY STE 300
BLUE ASH OH
45242-2842
US

V. Phone/Fax

Practice location:
  • Phone: 267-494-0174
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberC.2608476
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: