Healthcare Provider Details

I. General information

NPI: 1669428629
Provider Name (Legal Business Name): CAROL L EGNER & ASSOC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 01/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6480 HARRISON AVE STE.300
CINCINNATI OH
45247-7961
US

IV. Provider business mailing address

PO BOX 631288
CINCINNATI OH
45263-1288
US

V. Phone/Fax

Practice location:
  • Phone: 513-662-8222
  • Fax: 513-662-8002
Mailing address:
  • Phone: 513-891-1006
  • Fax: 513-793-1032

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. CAROL L EGNER
Title or Position: OWNER
Credential: MD
Phone: 513-662-8222