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Contact Information

RIVERSIDE GYN INC
5777 KELLOGG AVE
CINCINNATI, OH45230-7142
 Phone: 513-232-3232
 Fax: 513-333-3024
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Legal Medicine

173000000X
Indicates primary specialty

NPI Profile & details for RIVERSIDE GYN INC · (Female)

NPI # 1982933842
Status Active
Credentials
Entity Individual
Enumeration date 12/23/2009
Last updated 12/06/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • OH License # 35058827
  • OH License # OH048288
  • OH Medicaid 0605652
  • OH Medicaid 2565139
  • OH Other 6418350001 MEDICARE DME
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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