Individual
CASSIDY ELISE EBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5700 MONROE ST UNIT 209, SYLVANIA, OH 43560-2735
(419) 291-6720
(419) 291-6729
Mailing address
5700 MONROE ST UNIT 209, SYLVANIA, OH 43560-2735
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.151661
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2023
Last updated
04/21/2026
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