Basic Information
| Provider Information | |||||||||
| NPI: | 1639630395 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ARMBRUSTER | ||||||||
| FirstName: | EMILY | ||||||||
| MiddleName: | PATRICIA | ||||||||
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| OtherOrganizationName: | |||||||||
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| OtherLastName: | BLATZ | ||||||||
| OtherFirstName: | EMILY | ||||||||
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| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 6825 WOOSTER PIKE | ||||||||
| Address2: | |||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452274328 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5132720250 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 6825 WOOSTER PIKE | ||||||||
| Address2: | |||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452274328 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5132720250 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/26/2019 | ||||||||
| LastUpdateDate: | 08/25/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
| AuthorizedOfficialLastName: | |||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 08/25/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 35.144828 | OH | Y | Allopathic & Osteopathic Physicians | Family Medicine | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.