Individual
ERIC EUBANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1025 N HOLLAND SYLVANIA RD APT H4, TOLEDO, OH 43615-4393
(419) 214-2378
Mailing address
4822 SYLVAN CT, SYLVANIA, OH 43560-3088
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2298473
MEDICAID PROVIDER NUMBER
OH
Enumeration date
06/20/2014
Last updated
01/14/2025
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