Healthcare Provider Details

I. General information

NPI: 1396806832
Provider Name (Legal Business Name): MICHAEL JOSEPH ROHLFS D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

504 E. BUSINESS WAY
CINCINNATI OH
45241
US

IV. Provider business mailing address

504 E. BUSINESS WAY
CINCINNATI OH
45241
US

V. Phone/Fax

Practice location:
  • Phone: 513-354-3800
  • Fax: 513-354-3799
Mailing address:
  • Phone: 513-354-3800
  • Fax: 513-354-3799

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number1243
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: