Provider Demographics
NPI:1508160748
Name:SILER, ERIC ZANE (LPN)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:ZANE
Last Name:SILER
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4694 SHEPHARD RD
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:OH
Mailing Address - Zip Code:45103-1035
Mailing Address - Country:US
Mailing Address - Phone:513-250-9165
Mailing Address - Fax:
Practice Address - Street 1:4694 SHEPHARD RD
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:OH
Practice Address - Zip Code:45103-1035
Practice Address - Country:US
Practice Address - Phone:513-250-9165
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-03
Last Update Date:2011-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.143258-M-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse