Healthcare Provider Details

I. General information

NPI: 1609453109
Provider Name (Legal Business Name): HARMON FACIAL PLASTIC SURGERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2021
Last Update Date: 03/29/2021
Certification Date: 03/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2752 ERIE AVENUE STE 3
CINCINNATI OH
45208-2207
US

IV. Provider business mailing address

2752 ERIE AVENUE STE 3
CINCINNATI OH
45208-2207
US

V. Phone/Fax

Practice location:
  • Phone: 859-609-1596
  • Fax:
Mailing address:
  • Phone: 859-609-1596
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YS0123X
TaxonomyFacial Plastic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207YX0007X
TaxonomyPlastic Surgery within the Head & Neck (Otolaryngology) Physician
License Number
License Number State

VIII. Authorized Official

Name: JEFFREY J HARMON
Title or Position: PRESIDENT
Credential: MD
Phone: 859-609-1596