Healthcare Provider Details

I. General information

NPI: 1972448033
Provider Name (Legal Business Name): ERIC AUBERGER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 W 10TH AVE
COLUMBUS OH
43210-1240
US

IV. Provider business mailing address

654 HOLBROOK DR
SUNBURY OH
43074-7682
US

V. Phone/Fax

Practice location:
  • Phone: 513-444-8709
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberRN.459568
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: