Individual
MR. EDWARD SCOTT CARMICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
7640 SYLVANIA AVE, SUITE B1, SYLVANIA, OH 43560-9729
(419) 517-7538
(419) 517-7539
Mailing address
4210 W SYLVANIA AVE, STE 102, TOLEDO, OH 43623-4501
(419) 517-7538
(419) 517-7539
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-04723
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2326898
—
OH
01
—
252937
ANTHEM BCBS
OH
01
—
252944
ANTHEM BCBS
OH
01
—
343917
ANTHEM BCBS
OH
Enumeration date
11/10/2005
Last updated
09/28/2020
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