Healthcare Provider Details

I. General information

NPI: 1871740035
Provider Name (Legal Business Name): CAROLYN L ALTO MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2008
Last Update Date: 10/23/2020
Certification Date: 10/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2123 AUBURN AVE
CINCINNATI OH
45219
US

IV. Provider business mailing address

237 WILLIAM HOWARD TAFT RD PHYS DIV, REV CYCLE, 2ND FL - CBO2-3
CINCINNATI OH
45219-2610
US

V. Phone/Fax

Practice location:
  • Phone: 513-421-5558
  • Fax: 513-632-5804
Mailing address:
  • Phone: 513-263-8571
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberA00871
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: