Provider Demographics
NPI:1922073485
Name:EGNER, CAROL L (MD)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:L
Last Name:EGNER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4685 FOREST AVE
Mailing Address - Street 2:STE C
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45212-3359
Mailing Address - Country:US
Mailing Address - Phone:513-662-8222
Mailing Address - Fax:513-662-8002
Practice Address - Street 1:6480 HARRISON AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45247-7961
Practice Address - Country:US
Practice Address - Phone:513-662-8222
Practice Address - Fax:513-662-8002
Is Sole Proprietor?:No
Enumeration Date:2006-02-20
Last Update Date:2017-01-25
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Provider Licenses
StateLicense IDTaxonomies
OH35049746207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH110021648OtherRAILROAD MEDICARE
OHA16273Medicare UPIN
OH110021648OtherRAILROAD MEDICARE