Healthcare Provider Details

I. General information

NPI: 1306646997
Provider Name (Legal Business Name): ERIC BUCHMANN CFO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2025
Last Update Date: 03/14/2025
Certification Date: 03/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8591 CROSSROAD DR
YOUNGSTOWN OH
44514-4382
US

IV. Provider business mailing address

8591 CROSSROAD DR
YOUNGSTOWN OH
44514-4382
US

V. Phone/Fax

Practice location:
  • Phone: 330-758-0577
  • Fax: 330-726-8645
Mailing address:
  • Phone: 330-758-0577
  • Fax: 330-726-8645

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225000000X
TaxonomyOrthotic Fitter
License NumberCFO03550
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: