Tetirick, Bruce Lyle

Tetirick, Bruce Lyle is an individual health care provider with primary practice located at 9312 Winton Rd , Cincinnati OH 45231-3938. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Tetirick, Bruce Lyle can be contacted via phone (513) 922-0009.

Contact Information

Primary practice address
9312 Winton Rd Cincinnati OH 45231-3938
Phone: (513) 922-0009
Fax: (513) 931-2481
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 35042511 Ohio

Profile Details

NPI number 1518960830
LBN Legal business name Tetirick, Bruce Lyle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Jul 31st, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518960830 NPPES
Ohio Other 288089 AMERIGROUP
Ohio Other 720619 AMERIGROUP
Ohio Other P00149781 AMERIGROUP
Ohio Other 000000021056 AMERIGROUP
Ohio MEDICAID 0580625 AMERIGROUP
Ohio Other 31157505137 AMERIGROUP
Ohio Other 990127 AMERIGROUP

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