Healthcare Provider Details
I. General information
NPI: 1912543406
Provider Name (Legal Business Name): HEALTHCARE PRACTICE SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/20/2019
Last Update Date: 11/27/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9374 CINCINNATI COLUMBUS RD
WEST CHESTER OH
45241-5199
US
IV. Provider business mailing address
PO BOX 163
TRENTON OH
45067-0163
US
V. Phone/Fax
- Phone: 513-273-1137
- Fax: 513-282-0946
- Phone: 513-685-0949
- Fax: 513-282-0946
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
FRANCEENE
MCKINNEY
Title or Position: OWNER
Credential:
Phone: 513-685-0949