Healthcare Provider Details

I. General information

NPI: 1730350216
Provider Name (Legal Business Name): HOLZAPFEL & LIED PLASTIC SURGERY CENTER PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2008
Last Update Date: 08/03/2020
Certification Date: 08/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8044 MONTGOMERY RD SUITE 230
CINCINNATI OH
45236-2919
US

IV. Provider business mailing address

8044 MONTGOMERY RD STE 230
CINCINNATI OH
45236-2921
US

V. Phone/Fax

Practice location:
  • Phone: 513-984-3223
  • Fax: 513-984-3321
Mailing address:
  • Phone: 513-984-3223
  • Fax: 859-578-3321

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: SABRINA BARTRUFF
Title or Position: MEDICAL BILLER
Credential:
Phone: 859-331-9600