Organization
SUBI HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN SMITH (MANAGER)
(502) 244-9859
Entity
Organization
Contact information
Practice address
4124 DURHAMS XING, CINCINNATI, OH 45245-1759
(513) 601-2359
(770) 573-9513
Mailing address
4124 DURHAMS XING, CINCINNATI, OH 45245-1759
(513) 601-2359
(770) 573-9513
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
356755
STATE LICENSE
OH
Enumeration date
09/12/2019
Last updated
09/12/2019
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