Healthcare Provider Details

I. General information

NPI: 1336101948
Provider Name (Legal Business Name): JANICE HOLMES WARNER MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JANICE HOLMES MA

II. Dates (important events)

Enumeration Date: 04/06/2006
Last Update Date: 07/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4440 GLEN ESTE WITHAMSVILLE RD STE 475
CINCINNATI OH
45245
US

IV. Provider business mailing address

2825 BURNET AVE STE 330
CINCINNATI OH
45219-2426
US

V. Phone/Fax

Practice location:
  • Phone: 513-947-8470
  • Fax:
Mailing address:
  • Phone: 513-221-0527
  • Fax: 513-221-8014

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberA 00811
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: