Individual
PATRICK T. EITTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
921 E FRANKLIN ST, KENTON, OH 43326-2020
(419) 673-0761
Mailing address
PO BOX 65274, CHARLOTTE, NC 28265-0274
(800) 377-8721
(304) 523-2241
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35-075344
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000389996
BLUECROSS BLUESHIELD
OH
Enumeration date
04/19/2006
Last updated
07/13/2026
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