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Individual
DR. CARL RICHARD DOLLISON
Active
Individual
DR. CARL RICHARD DOLLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1731
OH
111NN0400X
Neurology Chiropractor
1731
OH
111NR0200X
Radiology Chiropractor
1731
OH
111NX0800X
Orthopedic Chiropractor
1731
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0975388
—
OH
01
—
311410997-00
OHIO BWC
OH
Enumeration date
10/24/2005
Last updated
12/31/2014
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