Healthcare Provider Details
I. General information
NPI: 1679610141
Provider Name (Legal Business Name): CINCINNATI ARTHRITIS ASSOCIATES PSC INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/31/2007
Last Update Date: 10/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2123 AUBURN AVE SUITE #630
CINCINNATI OH
45219-2906
US
IV. Provider business mailing address
2123 AUBURN AVENUE SUITE #630
CINCINNATI OH
45219
US
V. Phone/Fax
- Phone: 513-585-1970
- Fax: 513-585-1995
- Phone: 513-585-1970
- Fax: 513-585-1995
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RR0500X |
| Taxonomy | Rheumatology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JOHN
LAWRENCE
HOUK
Title or Position: PRESIDENT
Credential: M.D.
Phone: 513-532-1976