Organization
ERIE EMERGENCY PHYSICIANS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM A COLE JR. MD (CEO)
(800) 875-0136
Entity
Organization
Contact information
Practice address
2600 NAVARRE AVE, OREGON, OH 43616-3207
(419) 696-7411
(419) 696-7500
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
(937) 619-4150
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1569779
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000377111
GROUP BC/BS #
OH
05
—
2618260
—
OH
Enumeration date
06/08/2006
Last updated
08/24/2011
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