Healthcare Provider Details

I. General information

NPI: 1366740524
Provider Name (Legal Business Name): ALLERGY & ASTHMA CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2011
Last Update Date: 12/18/2020
Certification Date: 12/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

422 RAY NORRISH DR # 2
CINCINNATI OH
45246-1520
US

IV. Provider business mailing address

422 RAY NORRISH DR # 2
CINCINNATI OH
45246-1520
US

V. Phone/Fax

Practice location:
  • Phone: 513-671-6707
  • Fax: 513-671-6710
Mailing address:
  • Phone: 513-671-0799
  • Fax: 513-671-0845

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. SALLY J BUCHER
Title or Position: PRACTICE ADMINISTRATOR
Credential:
Phone: 513-671-6707