Individual
MR. EBENEZER EDGAR ENCHIA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7575 5 MILE RD, CINCINNATI, OH 45230-4346
(513) 232-7100
(513) 624-1240
Mailing address
7575 5 MILE RD, CINCINNATI, OH 45230-4346
(513) 232-7100
(513) 624-1240
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036.151048
IL
207Q00000X
Family Medicine Physician
35.147450
OH
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
35.147450
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/31/2016
Last updated
10/20/2023
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