Provider Demographics
NPI:1871100057
Name:DEHN, ERIC PAUL
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:PAUL
Last Name:DEHN
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 1:7810 COUNTY ROAD P
Mailing Address - Street 2:
Mailing Address - City:NAPOLEON
Mailing Address - State:OH
Mailing Address - Zip Code:43545-6140
Mailing Address - Country:US
Mailing Address - Phone:805-720-4040
Mailing Address - Fax:
Practice Address - Street 1:7810 COUNTY ROAD P
Practice Address - Street 2:
Practice Address - City:NAPOLEON
Practice Address - State:OH
Practice Address - Zip Code:43545-6140
Practice Address - Country:US
Practice Address - Phone:805-720-4040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-30
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide