Provider Demographics
NPI:1871255612
Name:OHNIMUS, CHRISTIAN JOSEPH (NP)
Entity type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:JOSEPH
Last Name:OHNIMUS
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3355 COUNTY ROAD 22A
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGDALE
Mailing Address - State:OH
Mailing Address - Zip Code:43910-7973
Mailing Address - Country:US
Mailing Address - Phone:740-219-0142
Mailing Address - Fax:
Practice Address - Street 1:1235 UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-1792
Practice Address - Country:US
Practice Address - Phone:740-270-3194
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-08
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0029016363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily