Healthcare Provider Details

I. General information

NPI: 1689476830
Provider Name (Legal Business Name): JOSHUA GLAUSER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2025
Last Update Date: 03/26/2025
Certification Date: 03/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3188 BELLEVUE AVE., ML 0781 INTERNAL MEDICINE
CINCINNATI OH
45219
US

IV. Provider business mailing address

3188 BELLEVUE AVE., ML 0781 INTERNAL MEDICINE
CINCINNATI OH
45219
US

V. Phone/Fax

Practice location:
  • Phone: 513-584-4505
  • Fax: 513-584-0468
Mailing address:
  • Phone: 513-584-4505
  • Fax: 513-584-0468

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: