Healthcare Provider Details

I. General information

NPI: 1780005736
Provider Name (Legal Business Name): TRIHEALTH W, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2013
Last Update Date: 12/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4420 AICHOLTZ RD SUITE 110
CINCINNATI OH
45245-1761
US

IV. Provider business mailing address

PO BOX 632875
CINCINNATI OH
45263-2875
US

V. Phone/Fax

Practice location:
  • Phone: 513-752-9122
  • Fax: 513-752-9156
Mailing address:
  • Phone: 513-853-4731
  • Fax: 513-563-5199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. DONNA NIENABER
Title or Position: SENIOR VP COUNSEL
Credential:
Phone: 513-569-6062