# OHIO MUSCULOSKELETAL SPORTS AND SPINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740720325
- **Authorized official:** CHAUNCY L EAKINS M.D. (OWNER)
- **Authorized official phone:** (937) 369-4933

## Contact information

- **Practice address:** 320 ALBANY ST, DAYTON, OH 45417-3402
- **Practice address phone:** (937) 496-6200
- **Mailing address:** 2136 MCKINLEY AVE, CINCINNATI, OH 45224-1832
- **Mailing address phone:** (973) 369-4933

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 03/02/2017
- **Last updated:** 01/29/2025