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NPI Code Detail

MEDICARE: ERIC ERB

MEDICARE: ERIC ERB
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2207X00000XOrthopaedic Surgery Physician35.151586OH

General Provider Information

NPI Number : 1952807489
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC ERB
Provider Business Mailing Address
First Line : 6480 HARRISON AVE STE 201
Second Line :
City : CINCINNATI
State : OH
Zip : 45247-7961
Country : US
Telephone Number : 138-180-0435
Fax Number : 513-964-9575
Provider Business Practice Location Address
First Line : 2750 NEWARK GRANVILLE RD
Second Line :
City : GRANVILLE
State : OH
Zip : 43023-9142
Country : US
Telephone Number : 740-788-9220
Fax Number : 740-788-9226
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2018
Last Update Date : 08/01/2024

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Directions to “ ERIC ERB ” Practice Location

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