1326037565 NPI number — GAYLE J. KARHOFF, INC.

Table of content: (NPI 1326037565)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326037565 NPI number — GAYLE J. KARHOFF, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GAYLE J. KARHOFF, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
SPINE ORTHOPAEDIC & SPORTS PHYSICAL THERAPY
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326037565
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
330 STRAIGHT ST
Provider Second Line Business Mailing Address:
SUITE 411
Provider Business Mailing Address City Name:
CINCINNATI
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45219-1064
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
513-221-8396
Provider Business Mailing Address Fax Number:
513-221-8398

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
330 STRAIGHT ST
Provider Second Line Business Practice Location Address:
SUITE 411
Provider Business Practice Location Address City Name:
CINCINNATI
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45219-1064
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
513-221-8396
Provider Business Practice Location Address Fax Number:
513-221-8398
Provider Enumeration Date:
10/20/2005

Additional Information

Authorized Official

Authorized Official Last Name:
SCHILD
Authorized Official First Name:
GAYLE
Authorized Official Middle Name:
K.
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
513-221-8396

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  PT-1749 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 000000015187 . This is a "ANTHEM GROUP PIN" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 6400294 . This is a "UNITED HEALTHCARE PROV#" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".




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