Basic Information
Provider Information
NPI: 1285950204
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PAULSEN
FirstName: ROBBIE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2830 VICTORY PKWY
Address2:  
City: CINCINNATI
State: OH
PostalCode: 452061785
CountryCode: US
TelephoneNumber: 5132453694
FaxNumber:  
Practice Location
Address1: 231 ALBERT SABIN WAY
Address2: ML 0769
City: CINCINNATI
State: OH
PostalCode: 452670769
CountryCode: US
TelephoneNumber: 5135585281
FaxNumber: 5135585791
Other Information
ProviderEnumerationDate: 04/15/2010
LastUpdateDate: 03/26/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X35 123650OHY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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