Provider Demographics
NPI:1194051854
Name:SPIES, ERIN ELIZABETH (DO)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:ELIZABETH
Last Name:SPIES
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:328 E HINES HILL RD FL 2
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:OH
Mailing Address - Zip Code:44236-1118
Mailing Address - Country:US
Mailing Address - Phone:330-342-6701
Mailing Address - Fax:330-342-6707
Practice Address - Street 1:328 E HINES HILL RD FL 2
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:OH
Practice Address - Zip Code:44236-1118
Practice Address - Country:US
Practice Address - Phone:330-342-6701
Practice Address - Fax:330-342-6707
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-29
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH58.003282208000000X
OH34.010382208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics