Stephen Pitman
Individual provider Active NPI Contractor · Blanchester, OH
NPI 1124564059 · NPPES record last updated Jan 17, 2017
Key facts
- NPI
- 1124564059
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 3371 Number Nine Rd
Blanchester, OH 45107-8842 - Phone
- (513) 673-7938
- NPI assigned
- Jan 17, 2017
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | OH | Yes |
Addresses
Primary practice location
3371 Number Nine Rd
Blanchester, OH 45107-8842
Mailing address
3371 Number Nine Rd
Blanchester, OH 45107-8842
Phone (513) 673-7938
Other providers in Blanchester, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.