Healthcare Provider Details
I. General information
NPI: 1184606006
Provider Name (Legal Business Name): HEALTH FIRST PHYSICIANS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/16/2005
Last Update Date: 06/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6460 HARRISON AVE SUITE 210
CINCINNATI OH
45247-7957
US
IV. Provider business mailing address
4700 SMITH RD SUITE A
CINCINNATI OH
45212-2787
US
V. Phone/Fax
- Phone: 513-618-5530
- Fax: 513-598-1834
- Phone: 513-619-6885
- Fax: 513-533-6001
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MARTIN
P
LEHENBAUER
Title or Position: PRESIDENT
Credential: MD
Phone: 513-398-3445