Individual
JONATHAN S EBERLEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AA
Contact information
Practice address
4665 DOUGLAS CIR NW STE 100, CANTON, OH 44718-3673
(330) 499-5700
Mailing address
4665 DOUGLAS CIR NW STE 100, CANTON, OH 44718-3673
(330) 499-5700
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
67.000152
OH
Other
Enumeration date
07/06/2009
Last updated
04/03/2019
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