Healthcare Provider Details

I. General information

NPI: 1407943111
Provider Name (Legal Business Name): PHYSICIANS CHOICE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5130 PRINCETON GLENDALE RD
LIBERTY TWP OH
45011-2415
US

IV. Provider business mailing address

5130 PRINCETON GLENDALE RD
LIBERTY TWP OH
45011-2415
US

V. Phone/Fax

Practice location:
  • Phone: 513-844-1608
  • Fax: 513-844-1803
Mailing address:
  • Phone: 513-844-1608
  • Fax: 513-844-1803

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. TAMERA GEBHART
Title or Position: OWNER
Credential: RN
Phone: 513-844-1608