Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | LPO48 | OH |
N | 222Z00000X | Podiatrist | LPO48 | OH |
Y | 224P00000X | Prosthetist | LPO48 | OH |
NPI | 1467793992 |
---|---|
Provider Name | Eric Hoellrich |
First Address | Lancaster, OH 43130-3364 |
Second Address | Lancaster, OH 43130-3364 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2013 |
Last Update Date | 07/03/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
976833 | (05) | OH |