Hiratzka, Loren Forrest

Hiratzka, Loren Forrest is an individual health care provider with primary practice located at 10506 Montgomery Rd Suite 302, Cincinnati OH 45242. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Hiratzka, Loren Forrest can be contacted via phone (513) 865-5120.

Contact Information

Primary practice address
10506 Montgomery Rd Suite 302 Cincinnati OH 45242
Fax: (513) 865-5121
Website:

Profile Details

NPI number 1982696340
LBN Legal business name Hiratzka, Loren Forrest
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Mar 25th, 2014 - about 11 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 1982696340 NPPES
Ohio MEDICAID 0640202
Ohio Other 000000005631
Ohio Other 1820061
Ohio Other 310804060031
Ohio Other 54450
Ohio Other 8330
Ohio MEDICAID 64862717
Ohio MEDICAID 200057970A

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