Healthcare Provider Details

I. General information

NPI: 1942115837
Provider Name (Legal Business Name): AJ DAVID WAYMIRE BSW, LSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3260 OXFORD MILLVILLE RD
OXFORD OH
45056-9430
US

IV. Provider business mailing address

300 HIGH ST
HAMILTON OH
45011-6078
US

V. Phone/Fax

Practice location:
  • Phone: 513-454-1111
  • Fax: 513-863-0113
Mailing address:
  • Phone: 513-454-1111
  • Fax: 513-863-0113

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberS.2613958
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: