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Organization

EMERGENCY PROFESSIONAL SERVICES, INC.

Active
Other names
Emergency Professional Services of Ohio, Inc.
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LAURA L DOLLISON D.O. (PRESIDENT)
(440) 842-7990
Entity
Organization

Contact information

Practice address
230 MEDICAL CENTER DR, SEAMAN, OH 45679-8002
(937) 386-3400
Mailing address
307 S EVERGREEN AVE, WOODBURY, NJ 08096-2739
(856) 686-4316

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
363A00000X
Physician Assistant
363AM0700X
Medical Physician Assistant
363L00000X
Nurse Practitioner
363LF0000X
Family Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CA8447
MEDICARE TRAVELERS RRGA
OH
Enumeration date
05/30/2006
Last updated
08/15/2017
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