Healthcare Provider Details

I. General information

NPI: 1467886317
Provider Name (Legal Business Name): TRIHEALTH OS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2013
Last Update Date: 08/28/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8737 UNION CENTRE BLVD
WEST CHESTER OH
45069-4878
US

IV. Provider business mailing address

PO BOX 637783
CINCINNATI OH
45263-7783
US

V. Phone/Fax

Practice location:
  • Phone: 513-645-2220
  • Fax: 513-645-2231
Mailing address:
  • Phone: 513-645-2220
  • Fax: 513-645-2231

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DONNA S NIENABER
Title or Position: SR VP CORP COUNSEL
Credential:
Phone: 513-569-6062