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NPI Code Detail

MEDICARE: ERIN RENEE TISCHNER DO

MEDICARE: ERIN RENEE TISCHNER DO
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
1207R00000XInternal Medicine Physician03432KY
2207R00000XInternal Medicine Physician34.010271OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
103432OTHERKYKY LICENSE

General Provider Information

NPI Number : 1265768725
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN RENEE TISCHNER DO
Provider Business Mailing Address
First Line : PO BOX 635283
Second Line :
City : CINCINNATI
State : OH
Zip : 45263-5283
Country : US
Telephone Number : 859-344-5555
Fax Number : 859-344-5552
Provider Business Practice Location Address
First Line : 1400 GRAND AVENUE
Second Line :
City : NEWPORT
State : KY
Zip : 41071-2570
Country : US
Telephone Number : 859-781-2210
Fax Number : 859-781-0289
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2009
Last Update Date : 01/09/2026

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