Individual
EDWARD SCOTT UMLAUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
55 HOSPITAL DR, ATHENS, OH 45701-2302
(740) 593-5551
Mailing address
55 HOSPITAL DR, ATHENS, OH 45701-2302
(740) 317-6794
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
34004863
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0156441
—
OH
01
—
110214544
RR MEDICARE
OH
05
—
1805199000
—
WV
Enumeration date
07/05/2005
Last updated
06/24/2008
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