Healthcare Provider Details

I. General information

NPI: 1265356166
Provider Name (Legal Business Name): RONALD EUGENE ABRAM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

128 ELMORE ST
ZANESVILLE OH
43701-5515
US

IV. Provider business mailing address

128 ELMORE ST
ZANESVILLE OH
43701-5515
US

V. Phone/Fax

Practice location:
  • Phone: 740-487-1804
  • Fax: 740-297-8741
Mailing address:
  • Phone: 740-487-1804
  • Fax: 740-297-8741

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: