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Individual

DR. CARL RICHARD DOLLISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
500 S 9TH ST, CAMBRIDGE, OH 43725-2854
(740) 439-9393
(740) 439-9395
Mailing address
500 S 9TH ST, CAMBRIDGE, OH 43725-2854
(740) 439-9393
(740) 439-9395

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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