Healthcare Provider Details

I. General information

NPI: 1982698858
Provider Name (Legal Business Name): CHRISTINE ELLEN PLECHA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2005
Last Update Date: 12/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9122 MONTGOMERY RD SUITE 100
CINCINNATI OH
45242-7745
US

IV. Provider business mailing address

2123 AUBURN AVE SUITE 724
CINCINNATI OH
45219-2906
US

V. Phone/Fax

Practice location:
  • Phone: 513-241-4774
  • Fax: 513-241-1682
Mailing address:
  • Phone: 513-241-4774
  • Fax: 513-241-1682

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number35055802P
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: