Healthcare Provider Details

I. General information

NPI: 1245984731
Provider Name (Legal Business Name): RICHARD THOMAS HOVEY
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/04/2022
Last Update Date: 02/04/2022
Certification Date: 02/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2139 AUBURN AVE
CINCINNATI OH
45219-2906
US

IV. Provider business mailing address

1138 ALWIL DR
CINCINNATI OH
45215-4010
US

V. Phone/Fax

Practice location:
  • Phone: 513-572-8720
  • Fax:
Mailing address:
  • Phone: 513-325-2028
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227800000X
TaxonomyCertified Respiratory Therapist
License Number5073
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: