Provider Demographics
NPI:1952576183
Name:MIAMI VALLEY WOMENS CARE, INC
Entity Type:Organization
Organization Name:MIAMI VALLEY WOMENS CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:H
Authorized Official - Last Name:WOLF
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:513-829-4456
Mailing Address - Street 1:759 WESSEL DR
Mailing Address - Street 2:SUITE 1
Mailing Address - City:FAIRFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45014-3670
Mailing Address - Country:US
Mailing Address - Phone:513-829-4456
Mailing Address - Fax:
Practice Address - Street 1:759 WESSEL DR
Practice Address - Street 2:SUITE 1
Practice Address - City:FAIRFIELD
Practice Address - State:OH
Practice Address - Zip Code:45014-3670
Practice Address - Country:US
Practice Address - Phone:513-829-4456
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-29
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34004451207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHF47497Medicare UPIN