# DR. CARL RICHARD DOLLISON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1134119092
- **Gender:** Man
- **Credential:** D.C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 1731 | OH | Yes |
| 111NN0400X | Neurology Chiropractor | 1731 | OH | — |
| 111NR0200X | Radiology Chiropractor | 1731 | OH | — |
| 111NX0800X | Orthopedic Chiropractor | 1731 | OH | — |

## Other

- **Enumeration date:** 10/24/2005
- **Last updated:** 12/31/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0975388 | — | OH |
| 01 | — | 311410997-00 | OHIO BWC | OH |