Individual
ELAINE KOBERLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
395 W 12TH AVE, COLUMBUS, OH 43210-1267
(614) 366-3214
Mailing address
1044 BELMONT AVE, YOUNGSTOWN, OH 44504-1006
(330) 480-2616
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
58.032786
OH
390200000X
Student in an Organized Health Care Education/Training Program
390200000X
OH
Other
Enumeration date
05/03/2022
Last updated
08/11/2023
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