Basic Information
Provider Information
NPI: 1750482923
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: UEHLEIN
FirstName: JOSEPH
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 643179
Address2:  
City: CINCINNATI
State: OH
PostalCode: 452643179
CountryCode: US
TelephoneNumber: 9372930247
FaxNumber:  
Practice Location
Address1: 600 WILSON CREEK ROAD
Address2:  
City: LAWRENCEBURG
State: IN
PostalCode: 47025
CountryCode: US
TelephoneNumber: 8125371010
FaxNumber: 8129263209
Other Information
ProviderEnumerationDate: 09/26/2006
LastUpdateDate: 04/20/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X01053016AINY Allopathic & Osteopathic PhysiciansAnesthesiology 

ID Information
IDTypeStateIssuerDescription
00000019590201 ANTHEMOTHER
6410911905KY MEDICAID
099425005OH MEDICAID


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