Healthcare Provider Details

I. General information

NPI: 1962533869
Provider Name (Legal Business Name): ONCOLOGY HEMATOLOGY CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2007
Last Update Date: 05/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 FARQUHAR AVE
WILMINGTON OH
45177-2188
US

IV. Provider business mailing address

5053 WOOSTER RD
CINCINNATI OH
45226-2326
US

V. Phone/Fax

Practice location:
  • Phone: 937-283-2273
  • Fax: 937-283-2280
Mailing address:
  • Phone: 513-751-2145
  • Fax: 513-751-2138

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. EDWARD R BROUN
Title or Position: PRESIDENT
Credential: MD
Phone: 513-751-2145