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
Fax: (765) 864-6703
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700871720 NPPES
Indiana MEDICAID 200127750
Indiana Other P01270966

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