Healthcare Provider Details

I. General information

NPI: 1588332712
Provider Name (Legal Business Name): HAND ASC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2021
Last Update Date: 09/02/2021
Certification Date: 09/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

538 OAK ST STE 100
CINCINNATI OH
45219-2554
US

IV. Provider business mailing address

4685 FOREST AVE
CINCINNATI OH
45212-3397
US

V. Phone/Fax

Practice location:
  • Phone: 513-961-7740
  • Fax:
Mailing address:
  • Phone: 513-853-4684
  • Fax: 513-852-8525

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL CROFTON
Title or Position: VICE PRESIDENT FINANCE
Credential:
Phone: 513-569-6577