Basic Information
| Provider Information | |||||||||
| NPI: | 1649410697 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | VAN METER EMERGENCY PHYSICIANS INC. APMC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 636343 | ||||||||
| Address2: | |||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452636343 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8004433672 | ||||||||
| FaxNumber: | 9547974901 | ||||||||
| Practice Location | |||||||||
| Address1: | 95 E FAIRWAY DR | ||||||||
| Address2: | |||||||||
| City: | COVINGTON | ||||||||
| State: | LA | ||||||||
| PostalCode: | 704337500 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9858674000 | ||||||||
| FaxNumber: | 9858674449 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/04/2009 | ||||||||
| LastUpdateDate: | 12/29/2014 | ||||||||
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| AuthorizedOfficialLastName: | CUSIMANO | ||||||||
| AuthorizedOfficialFirstName: | SYLVIA | ||||||||
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| AuthorizedOfficialTitleorPosition: | CFO | ||||||||
| AuthorizedOfficialTelephone: | 5043667638 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.