Healthcare Provider Details
I. General information
NPI: 1437532025
Provider Name (Legal Business Name): TRIHEALTH OS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/01/2015
Last Update Date: 07/01/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2499 ROSS-MILLVILLE RD.
HAMILTON OH
45013-0000
US
IV. Provider business mailing address
PO BOX 637783
CINCINNATI OH
45263-7783
US
V. Phone/Fax
- Phone: 513-856-5971
- Fax: 513-856-5942
- Phone: 513-853-4749
- Fax: 513-853-4740
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
CONNIE
AYLWARD
Title or Position: PHYSICIAN COMPLIANCE OFFICER
Credential:
Phone: 513-569-6302