Provider Demographics
NPI:1982932661
Name:WULSIN, VICTORIA WELLS (MD, DRPH)
Entity Type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:WELLS
Last Name:WULSIN
Suffix:
Gender:F
Credentials:MD, DRPH
Other - Prefix:DR
Other - First Name:VICTORIA
Other - Middle Name:ELIZABETH
Other - Last Name:WELLS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2751 O VARSITY WAY
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45221-0001
Mailing Address - Country:US
Mailing Address - Phone:513-556-2564
Mailing Address - Fax:513-556-1337
Practice Address - Street 1:2751 OVARSITY WAY
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45221-0001
Practice Address - Country:US
Practice Address - Phone:513-556-2564
Practice Address - Fax:513-556-1337
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH350580162083P0901X
OH35.0580162083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0744994Medicaid
OH0744994Medicaid