Organization
TRINITY ORTHOTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA PAULINE MAHAN (PRESIDENT)
(513) 771-2603
Entity
Organization
Contact information
Practice address
230 NORTHLAND BLVD, SUITE 231, CINCINNATI, OH 45246-3600
(513) 771-2603
Mailing address
230 NORTHLAND BLVD, SUITE 231, CINCINNATI, OH 45246-3600
(513) 771-2603
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5265100001
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000359414
ANTHEM BC/BS
OH
05
—
2519920
—
OH
01
—
82-00654
EVERCARE
OH
05
—
90009598
—
KY
Enumeration date
06/16/2005
Last updated
02/21/2008
Update your record
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