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NPI Code Detail

MEDICARE: DR. HENRY ALBERT STIENE M.D.

MEDICARE: DR. HENRY ALBERT STIENE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RS0010XSports Medicine (Internal Medicine) Physician35-05-5433OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4110222840OTHEROHMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
255433OTHEROHHUMANA
30901654OTHEROHUNITED HEALTH CARE
5414476OTHEROHWELLCARE
62551595OTHEROHAETNA
7000000192196OTHEROHANTHEM

General Provider Information

NPI Number : 1063402949
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HENRY ALBERT STIENE M.D.
Provider Business Mailing Address
First Line : 500 E-BUSINESS WAY
Second Line : SUITE A
City : CINCINNATI
State : OH
Zip : 45241-6014
Country : US
Telephone Number : 513-354-3700
Fax Number : 513-354-3705
Provider Business Practice Location Address
First Line : 6480 HARRISON AVE
Second Line : SUITE 201
City : CINCINNATI
State : OH
Zip : 45247-7961
Country : US
Telephone Number : 513-354-3700
Fax Number : 513-354-7651
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2005
Last Update Date : 10/02/2012

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