Healthcare Provider Details

I. General information

NPI: 1639588403
Provider Name (Legal Business Name): RICHARD ROWLAND II RN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2014
Last Update Date: 08/06/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

274 SUTTON RD
CINCINNATI OH
45230-3521
US

IV. Provider business mailing address

5400 EDALBERT DR
CINCINNATI OH
45239-7604
US

V. Phone/Fax

Practice location:
  • Phone: 513-231-5010
  • Fax:
Mailing address:
  • Phone: 513-741-3100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN-387846
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: