Provider Demographics
NPI:1962682120
Name:CRAIG L BIERER
Entity Type:Organization
Organization Name:CRAIG L BIERER
Other - Org Name:INDEPENDENCE ORTHOPEDICS
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:L
Authorized Official - Last Name:BIERER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:513-523-2663
Mailing Address - Street 1:5151 MORNING SUN RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:OXFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45056-9545
Mailing Address - Country:US
Mailing Address - Phone:513-523-2663
Mailing Address - Fax:513-523-6968
Practice Address - Street 1:5151 MORNING SUN RD
Practice Address - Street 2:SUITE A
Practice Address - City:OXFORD
Practice Address - State:OH
Practice Address - Zip Code:45056-9545
Practice Address - Country:US
Practice Address - Phone:513-523-2663
Practice Address - Fax:513-523-6968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-05
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34008396207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty