Organization
MILLENIUM ANESTHESIA LLC
Active
Parent organization
MILLENIUM ANESTHESIA LLC
Other names
CRNA Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
MILLENIUM ANESTHESIA LLC
Authorized official
THOMAS P SOBOLEWSKI MD (PRESIDENT)
(859) 341-7246
Entity
Organization
Contact information
Practice address
311 STRAIGHT STREET, CINCINNATI, OH 45219
(859) 341-7246
(859) 341-7867
Mailing address
20 MEDICAL VILLAGE DRIVE, #258, EDGEWOOD, KY 41017-5411
(859) 341-7246
(859) 341-7867
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200332470A
—
IN
05
—
2277683
—
OH
05
—
74900374
—
KY
Enumeration date
05/20/2008
Last updated
05/20/2008
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