Individual
MRS. SUSAN JANE NIEHAUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2189 MORROW TRAIL, HAMILTON, OH 45013-8076
(513) 868-1824
Mailing address
2189 MORROW TRAIL, HAMILTON, OH 45013-8076
(513) 868-1824
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0906745
—
OH
Enumeration date
01/27/2021
Last updated
01/27/2021
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