Healthcare Provider Details

I. General information

NPI: 1831216506
Provider Name (Legal Business Name): TRIHEALTH PHYSICIAN INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2007
Last Update Date: 04/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10475 MONTGOMERY RD STE 1D
CINCINNATI OH
45242-5201
US

IV. Provider business mailing address

PO BOX 632531
CINCINNATI OH
45263-2531
US

V. Phone/Fax

Practice location:
  • Phone: 513-865-1690
  • Fax: 513-865-1691
Mailing address:
  • Phone: 513-569-5027
  • Fax: 513-569-5199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. DONNA S NIENABER
Title or Position: SR VICE PRESIDENT
Credential:
Phone: 513-862-1400