Individual
EDWIN EVERHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1012 ODNR MOHICAN 51, PERRYSVILLE, OH 44864-9407
(419) 994-0300
Mailing address
1012 ODNR MOHICAN 51, PERRYSVILLE, OH 44864-9407
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1601080
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S.1601080
LICENSE
OH
Enumeration date
06/14/2017
Last updated
06/14/2017
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