Individual
ALICIA A BACHUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7423 S MASON MONTGOMERY RD STE B, MASON, OH 45040-7828
(513) 398-3445
Mailing address
4685 FOREST AVE, CINCINNATI, OH 45212-3397
(513) 853-4722
(513) 852-8525
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.123771
OH
207Q00000X
Family Medicine Physician
A95201
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0111259
—
OH
Enumeration date
09/27/2007
Last updated
09/28/2021
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