Basic Information
Provider Information
NPI: 1306138573
EntityType: 2
ReplacementNPI:  
OrganizationName: TRIHEALTH W LLC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: COMPREHENSIVE HEALTH CARE FOR WOMEN DR FROEHLICH
OtherOrganizationType: 5
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 634540
Address2:  
City: CINCINNATI
State: OH
PostalCode: 452634540
CountryCode: US
TelephoneNumber: 5137915950
FaxNumber: 5137919779
Practice Location
Address1: 9030 MONTGOMERY RD
Address2: SUITE 3
City: CINCINNATI
State: OH
PostalCode: 452427741
CountryCode: US
TelephoneNumber: 5137915950
FaxNumber: 5137919779
Other Information
ProviderEnumerationDate: 05/06/2011
LastUpdateDate: 07/20/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: NIENABER
AuthorizedOfficialFirstName: DONNA
AuthorizedOfficialMiddleName: S
AuthorizedOfficialTitleorPosition: SR VP CORPORATE COUNCIL
AuthorizedOfficialTelephone: 5135696062
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X  Y193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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