Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QS0010X | Family Doctor - Sports Medicine | 34.012146 | OH |
NPI | 1295152296 |
---|---|
Provider Name | Dr. Benjamin Ross Ahrens |
First Address | Hilliard, OH 43026-1961 |
Second Address | Hilliard, OH 43026-1961 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2014 |
Last Update Date | 25/01/2022 |