# PHYSICIANS HEALTHSOURCE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154462893
- **Authorized official:** DR. JOHN E RUCH DC (PRESIDENT)
- **Authorized official phone:** (513) 922-2204

## Contact information

- **Practice address:** 3328 WESTBOURNE DR, CINCINNATI, OH 45248-5133
- **Practice address phone:** (513) 922-1599
- **Practice address fax:** (513) 347-2735
- **Mailing address:** 3328 WESTBOURNE DR, CINCINNATI, OH 45248-5133
- **Mailing address phone:** (513) 922-1599
- **Mailing address fax:** (513) 347-2735

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |
| 225100000X | Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 02/08/2007
- **Last updated:** 07/13/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2558558 | — | OH |