Individual
JASON DAVID EUBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7200
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35.087243
OH
207XS0117X
Orthopaedic Surgery of the Spine Physician
35.087243
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000279630
UNISON
—
05
—
2923662
—
OH
01
—
515984
WELLCARE
OH
01
—
9177371
AETNA
—
Enumeration date
05/13/2007
Last updated
01/15/2021
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