Healthcare Provider Details

I. General information

NPI: 1649260258
Provider Name (Legal Business Name): CYNTHIA ANNE HILE P.A.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

Provider Other Name: MISS CYNTHIA ANNE HORSTMAN

II. Dates (important events)

Enumeration Date: 10/25/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3733 SIMPSON TRCE
MAINEVILLE OH
45039-9577
US

IV. Provider business mailing address

3733 SIMPSON TRCE
MAINEVILLE OH
45039-9577
US

V. Phone/Fax

Practice location:
  • Phone: 513-677-3647
  • Fax:
Mailing address:
  • Phone: 513-677-3647
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number50-00-0590
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: