Healthcare Provider Details

I. General information

NPI: 1669177598
Provider Name (Legal Business Name): NICHOLAS WILLIAM STEINERT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2023
Last Update Date: 09/20/2026
Certification Date: 09/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5138 CHUKKER POINT LN
CINCINNATI OH
45244-5046
US

IV. Provider business mailing address

5138 CHUKKER POINT LN
CINCINNATI OH
45244-5046
US

V. Phone/Fax

Practice location:
  • Phone: 513-490-9723
  • Fax:
Mailing address:
  • Phone: 513-490-9723
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: