Ronald G Ayers, LICENSED CONTRACTOR

Individual provider Active NPI Contractor · Cincinnati, OH

NPI 1275007239 · NPPES record last updated Jan 14, 2019

Key facts

NPI
1275007239
Entity type
Individual (NPI type 1)
Primary specialty
Contractor 171W00000X
License
27170 (OH)
Practice address
9883 Crusader Dr
Cincinnati, OH 45251-1613
Phone
(513) 375-2450
NPI assigned
Jan 14, 2019
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

State licenses

LicenseStateTypeSpecialty
27170OHMDContractor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 27170 OH Yes

Addresses

Primary practice location

9883 Crusader Dr
Cincinnati, OH 45251-1613

Mailing address

9883 Crusader Dr
Cincinnati, OH 45251-1613
Phone (513) 375-2450

Other providers in Cincinnati, OH

All providers in Cincinnati, OH · Contractor in Ohio

Sources for this page

Verify at the official NPI Registry.