Healthcare Provider Details

I. General information

NPI: 1780461947
Provider Name (Legal Business Name): RACHAEL ELIZABETH MAHR AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2023
Last Update Date: 09/12/2023
Certification Date: 09/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2123 AUBURN AVE STE 209
CINCINNATI OH
45219-2906
US

IV. Provider business mailing address

2123 AUBURN AVE STE 209
CINCINNATI OH
45219-2906
US

V. Phone/Fax

Practice location:
  • Phone: 513-421-5558
  • Fax:
Mailing address:
  • Phone: 513-421-5558
  • Fax: 513-632-5804

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberA.02476
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberA.02476
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: