Healthcare Provider Details

I. General information

NPI: 1548226871
Provider Name (Legal Business Name): STEVEN BLESER DC
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/25/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6400 EAST GALBAITH ROAD
CINCINNATI OH
45236
US

IV. Provider business mailing address

3200 BURNET AVENUE 1 RIDGEWAY
CINCINNATI OH
45229-3019
US

V. Phone/Fax

Practice location:
  • Phone: 513-791-5521
  • Fax: 513-791-5526
Mailing address:
  • Phone: 513-585-9009
  • Fax: 513-585-6146

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number592
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: