MEDICARE: DR. PRESTON EIBLING D.O

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	34.014467	OH
2	2084N0008X	Neuromuscular Medicine (Psychiatry & Neurology) Physician	34.014467	OH

General Provider Information

NPI Number	:	1558723072
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PRESTON EIBLING D.O

Provider Business Mailing Address
First Line	:	PO BOX 7527
Second Line	:
City	:	DUBLIN
State	:	OH
Zip	:	43017-0727
Country	:	US
Telephone Number	:	614-533-5500
Fax Number	:	614-533-0103

Provider Business Practice Location Address
First Line	:	6905 HOSPITAL DR STE 200A
Second Line	:
City	:	DUBLIN
State	:	OH
Zip	:	43016-1690
Country	:	US
Telephone Number	:	614-533-5500
Fax Number	:	614-533-0103

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2016
Last Update Date	:	08/02/2024

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