Individual
ERIC OBENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9936 GRASSCREEK CT, CINCINNATI, OH 45231-2010
(513) 404-0301
Mailing address
9936 GRASSCREEK CT, CINCINNATI, OH 45231-2010
(513) 404-0301
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN352591
OH
164W00000X
Licensed Practical Nurse
PN-112704
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2798763
—
OH
Enumeration date
12/17/2007
Last updated
02/02/2012
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