Doctor Name: | HOLLY BAUSER-HEATON |
NPI Number: | 1073756631 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D., PH.D. |
License Number: | |
Business Practice Address: | 3333 Burnet Ave Mll 3016 Cincinnati, OH - 452293039 |
Business Phone Number: | 5136364588 |
Business Fax Number: | 5136360345 |
Mailing Address: | 3333 Burnet Ave, Ml 5018 CINCINNATI |
State: | OH |
Postal Code: | 452293039 |
Phone Number: | 5133634315 |
Fax Number: | 1516366567 |
NPI Enumeration Date: | 04/13/2009 |
NPI Last Update Date: | 04/13/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |