Provider Demographics
NPI:1225234727
Name:SCHWAEGERLE, JILL (LMT)
Entity Type:Individual
Prefix:MISS
First Name:JILL
Middle Name:
Last Name:SCHWAEGERLE
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7610 READING RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45237-3232
Mailing Address - Country:US
Mailing Address - Phone:513-761-3733
Mailing Address - Fax:513-761-3926
Practice Address - Street 1:7610 READING RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45237-3232
Practice Address - Country:US
Practice Address - Phone:513-761-3733
Practice Address - Fax:513-761-3926
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH15030174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist