Healthcare Provider Details

I. General information

NPI: 1871779835
Provider Name (Legal Business Name): WILLIAM P SAWYER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2008
Last Update Date: 06/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11714 US ROUTE 42
CINCINNATI OH
45241-2039
US

IV. Provider business mailing address

11714 US ROUTE 42
CINCINNATI OH
45241-2039
US

V. Phone/Fax

Practice location:
  • Phone: 513-769-4951
  • Fax: 513-769-4964
Mailing address:
  • Phone: 513-769-4951
  • Fax: 513-769-4964

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. STEPHANIE ANNE ERB
Title or Position: OFFICE MANAGER
Credential:
Phone: 513-769-4951