Provider Demographics
NPI:1528509890
Name:AMY ELIZABETH HAERING
Entity type:Organization
Organization Name:AMY ELIZABETH HAERING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:HAERING
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:513-803-4471
Mailing Address - Street 1:5015 BRANT RD
Mailing Address - Street 2:
Mailing Address - City:MORROW
Mailing Address - State:OH
Mailing Address - Zip Code:45152-8952
Mailing Address - Country:US
Mailing Address - Phone:513-803-4471
Mailing Address - Fax:
Practice Address - Street 1:5015 BRANT RD
Practice Address - Street 2:
Practice Address - City:MORROW
Practice Address - State:OH
Practice Address - Zip Code:45152-8952
Practice Address - Country:US
Practice Address - Phone:513-803-4471
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-20
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC2000XHospitalsGeneral Acute Care HospitalChildren