Organization
ORTHOCINCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANN MARIE REIS (MANAGER/CEO)
(859) 817-7070
Entity
Organization
Contact information
Practice address
2960 MACK RD, SUITE 101, FAIRFIELD, OH 45014
(513) 793-3933
(513) 793-8299
Mailing address
560 S LOOP RD, EDGEWOOD, KY 41017
(859) 817-7500
(859) 817-7851
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0399980002
DURABLE MEDICAL EQUIPMENT
OH
Enumeration date
07/24/2007
Last updated
10/11/2017
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