Individual
ROGER WAYNE HARBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7500 STATE RD, ANESTHESIA INTENSIVE CARE CONSULTANTS INC, CINCINNATI, OH 45255-2439
(859) 341-7246
(859) 341-7867
Mailing address
20 MEDICAL VILLAGE DR, SUITE 258 ANESTHESIA INTENSIVE CARE CONSULTANTS INC, EDGEWOOD, KY 41017-5401
(859) 341-7246
(859) 341-7867
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
205076
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000277550
ANTHEM BLUE SHIELD
—
05
—
0966263
—
OH
01
—
728023
BUCKEYE
—
05
—
74006032
—
KY
Enumeration date
12/08/2005
Last updated
02/28/2008
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