Organization
MILLENIUM ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS P SOBOLEWSKI MD (PRESIDENT)
(859) 341-7246
Entity
Organization
Contact information
Practice address
311 STRAIGHT STREET, MILLENIUM ANESTHESIA LLC, CINCINNATI, OH 45219
(859) 341-7246
(859) 341-7867
Mailing address
20 MEDICAL VILLAGE DRIVE, SUITE 258 MILLENIUM ANESTHESIA LLC, EDGEWOOD, KY 41017
(859) 341-7246
(859) 341-7867
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2181240
—
OH
01
—
2277683
MEDICAID CRNAS
OH
01
—
65935371
MEDICAID PHYSICIANS
KY
01
—
74900374
MEDICAID CRNAS GROUP
KY
Enumeration date
01/11/2006
Last updated
08/22/2020
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