Healthcare Provider Details

I. General information

NPI: 1215960307
Provider Name (Legal Business Name): WOMENS PLASTIC SURGERY & REJUVINATION CENTERE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2006
Last Update Date: 03/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4750 E GALBRAITH RD STE 215
CINCINNATI OH
45236-6705
US

IV. Provider business mailing address

4750 E GALBRAITH RD STE 215
CINCINNATI OH
45236-6705
US

V. Phone/Fax

Practice location:
  • Phone: 513-891-5610
  • Fax: 513-891-5638
Mailing address:
  • Phone: 513-891-5610
  • Fax: 513-891-5638

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JENNIFER BUTTERFIELD
Title or Position: OWNER
Credential: MD
Phone: 513-891-5610