Individual
NICHOLAS ANTHONY EBERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2960 MACK RD STE 205, FAIRFIELD, OH 45014-5300
(513) 825-5454
(513) 825-5452
Mailing address
2960 MACK RD STE 205, FAIRFIELD, OH 45014-5300
(513) 825-5454
(513) 825-5452
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
34.013086
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2015
Last updated
02/23/2023
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