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NPI Code Detail

MEDICARE: UNIVERSITY ORAL PATHOLOGY

MEDICARE: UNIVERSITY ORAL PATHOLOGY
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
1174400000XSpecialist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255331328
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNIVERSITY ORAL PATHOLOGY
Provider Business Mailing Address
First Line : PO BOX 42262
Second Line :
City : CINCINNATI
State : OH
Zip : 45242-0262
Country : US
Telephone Number : 513-965-8091
Fax Number : 513-965-8091
Provider Business Practice Location Address
First Line : 222 PIEDMONT AVE
Second Line : STE 8400
City : CINCINNATI
State : OH
Zip : 45219-4231
Country : US
Telephone Number : 513-965-8041
Fax Number : 513-965-8091
Authorized Official
Title or Position : CLIENT SERVICES MANAGER
Name : LYNN GRAY
Credential :
Telephone Number : 513-965-8041
Provider Enumeration Date : 07/29/2005
Last Update Date : 06/17/2008

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1679572382 — MICHELLE L KIRSCHNER CNP
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Directions to “UNIVERSITY ORAL PATHOLOGY ” Practice Location

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