Organization
PHYSICIANS HEALTHSOURCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN E RUCH DC (PRESIDENT)
(513) 922-2204
Entity
Organization
Contact information
Practice address
3328 WESTBOURNE DR, CINCINNATI, OH 45248-5133
(513) 922-1599
(513) 347-2735
Mailing address
3328 WESTBOURNE DR, CINCINNATI, OH 45248-5133
(513) 922-1599
(513) 347-2735
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2558558
—
OH
Enumeration date
02/08/2007
Last updated
07/13/2016
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