Individual
ERIC J GREATHOUSE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4011 PARDEE RD, STOW, OH 44224-3630
(330) 703-2648
Mailing address
4011 PARDEE RD, STOW, OH 44224-3630
(330) 703-2648
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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