Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician | S5052 | OH |
NPI | 1164651980 |
---|---|
Provider Name | Bill B Hance |
First Address | Cincinnati, OH 45249-2273 |
Second Address | Cincinnati, OH 45249-2273 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2009 |
Last Update Date | 14/07/2009 |