Provider Demographics
NPI:1386232148
Name:MAY, ERIC W
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:W
Last Name:MAY
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:PO BOX 174
Mailing Address - Street 2:
Mailing Address - City:SCIO
Mailing Address - State:OH
Mailing Address - Zip Code:43988-0174
Mailing Address - Country:US
Mailing Address - Phone:174-094-4094
Mailing Address - Fax:
Practice Address - Street 1:429 WEST MAIN ST
Practice Address - Street 2:
Practice Address - City:SCIO
Practice Address - State:OH
Practice Address - Zip Code:43988
Practice Address - Country:US
Practice Address - Phone:740-945-4094
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-07
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide