Provider Demographics
NPI:1427646355
Name:HOUNSHELL, JEFF
Entity type:Individual
Prefix:MR
First Name:JEFF
Middle Name:
Last Name:HOUNSHELL
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 1:11625 BANK RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45251-4400
Mailing Address - Country:US
Mailing Address - Phone:513-265-4551
Mailing Address - Fax:
Practice Address - Street 1:11625 BANK RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45251-4400
Practice Address - Country:US
Practice Address - Phone:513-265-4551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-06
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care