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Individual

DR. WILLIAM P KOTHEIMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
201 MAIN ST, MILFORD, OH 45150-0123
(513) 871-4092
(513) 871-4092
Mailing address
201 MAIN ST, MILFORD, OH 45150-0123
(513) 871-4092
(513) 871-4092

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
696
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000025485
ANTHEM BC BS INS
01
34123263900
WORKERS COMP
Enumeration date
11/07/2006
Last updated
07/08/2007
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