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NPI Code Detail

MEDICARE: MR. DOUGLAS F THEURING

MEDICARE: MR. DOUGLAS F THEURING
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
1183500000XPharmacist03-3-08645OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
136-40352OTHERNABP
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932213329
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DOUGLAS F THEURING
Provider Business Mailing Address
First Line : 5275 WINNESTE AVE
Second Line : SUITE A
City : CINCINNATI
State : OH
Zip : 45232-1130
Country : US
Telephone Number : 513-242-5700
Fax Number : 513-482-5461
Provider Business Practice Location Address
First Line : 5275 WINNESTE AVE
Second Line : SUITE A
City : CINCINNATI
State : OH
Zip : 45232-1130
Country : US
Telephone Number : 513-242-5700
Fax Number : 513-482-5461
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2006
Last Update Date : 07/08/2007

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