Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician | 5738SC | OH |
NPI | 1003377045 |
---|---|
Provider Name | Erikka Hermiller |
First Address | Findlay, OH 45840-4039 |
Second Address | Findlay, OH 45840-3739 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2019 |
Last Update Date | 30/03/2019 |