Individual
INI MICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
670 NORTHLAND BLVD UNIT 40263, CINCINNATI, OH 45240-7507
(513) 477-3467
Mailing address
670 NORTHLAND BLVD UNIT 40263, CINCINNATI, OH 45240-7507
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3143959
—
OH
Enumeration date
06/17/2015
Last updated
06/17/2015
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