Individual
JEFFREY S EIDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1740 N PERRY ST, SUITE A, OTTAWA, OH 45875-1173
(419) 523-0012
(419) 523-3416
Mailing address
1740 N PERRY ST, SUITE A, OTTAWA, OH 45875-1173
(419) 523-0012
(419) 523-3416
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35075406
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000344042
ANTHEM BC/BS
OH
01
—
000000550106
ANTHEM BC/BS
OH
05
—
2118381
—
OH
01
—
728147
BUCKEYE
OH
01
—
P00170782
RAILROAD CARE
OH
01
—
P00472596
RAILROAD CARE
OH
Enumeration date
05/08/2006
Last updated
05/29/2008
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