Provider Demographics
NPI:1679903009
Name:TRIHEALTH PHYSICIANS OF INDIANA, INC.
Entity Type:Organization
Organization Name:TRIHEALTH PHYSICIANS OF INDIANA, INC.
Other - Org Name:TRIHEALTH PHYSICIANS OF INDIANA, P.C.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SENIOR VP COUNSEL
Authorized Official - Prefix:MRS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:NIENABER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-569-6062
Mailing Address - Street 1:PO BOX 638224
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-8224
Mailing Address - Country:US
Mailing Address - Phone:513-853-4731
Mailing Address - Fax:513-569-5199
Practice Address - Street 1:600 WILSON CREEK RD
Practice Address - Street 2:SUITE 310
Practice Address - City:LAWRENCEBURG
Practice Address - State:IN
Practice Address - Zip Code:47025-2751
Practice Address - Country:US
Practice Address - Phone:513-961-4263
Practice Address - Fax:513-961-1503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-21
Last Update Date:2013-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01039039B207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Single Specialty