Healthcare Provider Details

I. General information

NPI: 1306970413
Provider Name (Legal Business Name): HEALTH PLUS MEDICAL MANAGEMENT, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 10/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

809 EASTGATE SOUTH DR SUITE A
CINCINNATI OH
45245-1564
US

IV. Provider business mailing address

8190 BEECHMONT AVE #366
CINCINNATI OH
45255-6117
US

V. Phone/Fax

Practice location:
  • Phone: 513-752-6900
  • Fax: 513-759-2945
Mailing address:
  • Phone: 513-752-6900
  • Fax: 513-759-2945

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC 1261
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number35. 041429
License Number StateOH

VIII. Authorized Official

Name: DR. GLORIA WALKER
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 513-752-6900