Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 152W00000X | Optometrist | 18002640B | IN |
N | 152W00000X | Optometrist | 2496 | OH |
Y | 152W00000X | Optometrist | 5582 | OH |
NPI | 1003986662 |
---|---|
Provider Name | Mrs. Katrina Baumann Hoelscher |
First Address | West Chester, OH 45069 |
Second Address | Evendale, OH 45241 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2006 |
Last Update Date | 15/09/2009 |