Healthcare Provider Details

I. General information

NPI: 1639530660
Provider Name (Legal Business Name): EMILY UEBEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2016
Last Update Date: 05/15/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4440 RED BANK RD STE 210
CINCINNATI OH
45227
US

IV. Provider business mailing address

237 WILLIAM HOWARD TAFT RD
CINCINNATI OH
45219-2610
US

V. Phone/Fax

Practice location:
  • Phone: 513-272-0313
  • Fax: 513-272-0316
Mailing address:
  • Phone: 513-263-8699
  • Fax: 513-263-8698

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number7855
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: