Healthcare Provider Details

I. General information

NPI: 1508824483
Provider Name (Legal Business Name): CRAIG M EYMAN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2006
Last Update Date: 01/19/2021
Certification Date: 01/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7215 OLD OAK BLVD STE A310
CLEVELAND OH
44130-3340
US

IV. Provider business mailing address

PO BOX 638269
CINCINNATI OH
45263-8269
US

V. Phone/Fax

Practice location:
  • Phone: 440-816-2820
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number34-005577
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: