Healthcare Provider Details

I. General information

NPI: 1902429681
Provider Name (Legal Business Name): ERIN OHNMEISS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2020
Last Update Date: 05/28/2020
Certification Date: 05/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

238 WINDSOR AVE
URBANA OH
43078-2562
US

IV. Provider business mailing address

4343 W US HIGHWAY 36
URBANA OH
43078-9663
US

V. Phone/Fax

Practice location:
  • Phone: 937-624-7182
  • Fax:
Mailing address:
  • Phone: 937-624-7182
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number157653
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: