O'Banion, Eric
O'Banion, Eric is an individual health care provider with primary practice located at 3506 S Lafountain St , Kokomo IN 46902-3803. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. O'Banion, Eric can be contacted via phone (765) 864-6700.Contact Information
Primary practice address
3506 S Lafountain St
Kokomo IN 46902-3803
Phone: (765) 864-6700
Fax: (765) 864-6703
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 01046954 | Indiana |
Profile Details
NPI number | 1700871720 |
---|---|
LBN Legal business name | O'Banion, Eric |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 15th, 2005 |
Last updated | Nov 27th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1700871720 | NPPES |
Indiana | MEDICAID | 200127750 | |
Indiana | Other | P01270966 |
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