Provider Demographics
NPI:1952408767
Name:METZ, ERIC B (DO)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:B
Last Name:METZ
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:2600 N LIMESTONE ST
Mailing Address - Street 2:SUITE 250
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45503-1114
Mailing Address - Country:US
Mailing Address - Phone:937-523-9850
Mailing Address - Fax:937-523-9859
Practice Address - Street 1:2600 N LIMESTONE ST
Practice Address - Street 2:SUITE 250
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45503-1114
Practice Address - Country:US
Practice Address - Phone:937-523-9850
Practice Address - Fax:937-523-9859
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2014-09-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5101015355207X00000X
KY03053207X00000X
TN2204207X00000X
OH34.010800207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000537048OtherBLUE CROSS AND BLUE SHIELD
KYP00446533OtherMEDICARE RAILROAD
TN1521749Medicaid
OHPENDINGMedicaid
KY7100017520Medicaid
OHH231320Medicare PIN
OHPENDINGMedicaid
OHPENDINGMedicare PIN