Individual
NOEL N EBOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1040 DELAWARE AVENUE, MARION, OH 43301-1814
(740) 383-7950
(740) 383-7087
Mailing address
# L-3549, COLUMBUS, OH 43260-0001
(740) 383-7927
(740) 383-7942
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
35044038E
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000118446
ANTHEM
OH
05
—
0410657
—
OH
01
—
0465301
PALMETTO MEDICARE
—
01
—
0600018
UHC
—
01
—
140004259
TRAVELERS MEDICARE
—
01
—
311098079
PPO NEXT
—
01
—
311098079069
CIGNA
—
01
—
353077
SUBMITTER NO
—
01
—
646717
AETNA
—
Enumeration date
05/02/2006
Last updated
11/28/2012
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