| Living Well Ohio Llc | |
|
10615 Montgomery Rd Ste 150 Cincinnati OH 45242-4460 | |
| (513) 984-9355 | |
| (859) 223-0642 |
| Full Name | Living Well Ohio Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 10615 Montgomery Rd, Cincinnati, Ohio |
| Authorized Official Name and Position | Brian Hitchcock (MANAGING DIRECTOR) |
| Authorized Official Contact | 5134753180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Well Ohio Llc 10615 Montgomery Rd Ste 150 Cincinnati OH 45242-4460 Ph: (513) 984-9355 | Living Well Ohio Llc 10615 Montgomery Rd Ste 150 Cincinnati OH 45242-4460 Ph: (513) 984-9355 |
| NPI Number | 1194150714 |
|---|---|
| Provider Enumeration Date | 09/13/2013 |
| Last Update Date | 02/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194150714 | NPI | - | NPPES |
| 0087223 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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