Provider Demographics
NPI:1316519507
Name:TOROK, IAN L
Entity type:Individual
Prefix:
First Name:IAN
Middle Name:L
Last Name:TOROK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:842 NORTHERN PKWY
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45224-1761
Mailing Address - Country:US
Mailing Address - Phone:513-444-9038
Mailing Address - Fax:
Practice Address - Street 1:842 NORTHERN PKWY
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45224-1761
Practice Address - Country:US
Practice Address - Phone:513-444-9038
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-15
Last Update Date:2021-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic