Individual
ERIC BOSHEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1526 REPUBLIC ST, CINCINNATI, OH 45202-7016
(513) 314-2102
Mailing address
1526 REPUBLIC ST, CINCINNATI, OH 45202-7016
(513) 314-2102
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
311383835
TAX ID
OH
Enumeration date
10/17/2018
Last updated
10/17/2018
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