Provider Demographics
NPI:1831286186
Name:BENDER, PATRICIA E (RN, DC)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:E
Last Name:BENDER
Suffix:
Gender:F
Credentials:RN, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10198 SPRINGFIELD PIKE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45215-1448
Mailing Address - Country:US
Mailing Address - Phone:513-772-9065
Mailing Address - Fax:513-772-2961
Practice Address - Street 1:10198 SPRINGFIELD PIKE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45215-1448
Practice Address - Country:US
Practice Address - Phone:513-772-9065
Practice Address - Fax:513-772-2961
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2011-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1112111NX0100X, 111NR0400X, 111NI0013X, 111NI0900X, 111NN1001X, 111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
No111NX0100XChiropractic ProvidersChiropractorOccupational Health
No111NI0013XChiropractic ProvidersChiropractorIndependent Medical Examiner
No111NI0900XChiropractic ProvidersChiropractorInternist
No111NN1001XChiropractic ProvidersChiropractorNutrition
No111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000016150OtherANTHEM
124110800OtherDEPT OF LABOR
OH0693272Medicaid
000000016150OtherANTHEM
OH0571793Medicare PIN