Provider Demographics
NPI:1730350216
Name:HOLZAPFEL & LIED PLASTIC SURGERY CENTER PSC
Entity type:Organization
Organization Name:HOLZAPFEL & LIED PLASTIC SURGERY CENTER PSC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL BILLER
Authorized Official - Prefix:
Authorized Official - First Name:SABRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTRUFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-331-9600
Mailing Address - Street 1:8044 MONTGOMERY RD STE 230
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-2921
Mailing Address - Country:US
Mailing Address - Phone:513-984-3223
Mailing Address - Fax:859-578-3321
Practice Address - Street 1:8044 MONTGOMERY RD
Practice Address - Street 2:SUITE 230
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-2919
Practice Address - Country:US
Practice Address - Phone:513-984-3223
Practice Address - Fax:513-984-3321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-12
Last Update Date:2020-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHDE9245231Medicare PIN