1053356121 NPI number — FOR WOMEN INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1053356121 NPI number — FOR WOMEN INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FOR WOMEN 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:
Provider Other Organization Name Type Code:
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:
1053356121
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/10/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10475 READING RD
Provider Second Line Business Mailing Address:
SUITE 307
Provider Business Mailing Address City Name:
CINCINNATI
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45241-2563
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
513-563-2030
Provider Business Mailing Address Fax Number:
513-563-1682

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3219 CLIFTON AVE
Provider Second Line Business Practice Location Address:
SUITE 125
Provider Business Practice Location Address City Name:
CINCINNATI
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45220-3027
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
513-563-2030
Provider Business Practice Location Address Fax Number:
513-563-1682
Provider Enumeration Date:
06/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HARTMANN
Authorized Official First Name:
JULIANA
Authorized Official Middle Name:
Authorized Official Title or Position:
PRACTICE ADMIN.
Authorized Official Telephone Number:
513-563-2202

Provider Taxonomy Codes

  • Taxonomy code: 207V00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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