Provider Demographics
NPI:1134013659
Name:TUBBS, MONIQUE A
Entity type:Individual
Prefix:
First Name:MONIQUE A
Middle Name:
Last Name:TUBBS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9732 OVERVIEW LN
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-2313
Mailing Address - Country:US
Mailing Address - Phone:513-512-3162
Mailing Address - Fax:513-512-3162
Practice Address - Street 1:9732 OVERVIEW LN
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-2313
Practice Address - Country:US
Practice Address - Phone:513-512-3162
Practice Address - Fax:513-512-3162
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies