Healthcare Provider Details

I. General information

NPI: 1629083175
Provider Name (Legal Business Name): TRIHEALTH Q, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2006
Last Update Date: 10/22/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10450 NEW HAVEN RD
HARRISON OH
45030-2780
US

IV. Provider business mailing address

10450 NEW HAVEN RD
HARRISON OH
45030-2780
US

V. Phone/Fax

Practice location:
  • Phone: 513-202-1113
  • Fax: 513-202-1106
Mailing address:
  • Phone: 513-202-1113
  • Fax: 513-202-1106

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: PAMELA COYLE-TOERNER
Title or Position: CEO
Credential:
Phone: 513-871-3444