Provider Demographics
NPI:1043071384
Name:MILNER, ERIC
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:
Last Name:MILNER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 POWELL LN
Mailing Address - Street 2:
Mailing Address - City:RAWSON
Mailing Address - State:OH
Mailing Address - Zip Code:45881-9771
Mailing Address - Country:US
Mailing Address - Phone:419-303-2456
Mailing Address - Fax:
Practice Address - Street 1:146 POWELL LN
Practice Address - Street 2:
Practice Address - City:RAWSON
Practice Address - State:OH
Practice Address - Zip Code:45881-9771
Practice Address - Country:US
Practice Address - Phone:419-303-2456
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-23
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide