Healthcare Provider Details

I. General information

NPI: 1275965709
Provider Name (Legal Business Name): TRIHEALTH OS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2013
Last Update Date: 08/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6909 GOOD SAMARITAN DR SUITE A
CINCINNATI OH
45247-5208
US

IV. Provider business mailing address

PO BOX 637783
CINCINNATI OH
45263-7783
US

V. Phone/Fax

Practice location:
  • Phone: 513-985-3700
  • Fax: 513-985-3706
Mailing address:
  • Phone: 513-985-3700
  • Fax: 513-985-3706

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

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