Basic Information
| Provider Information | |||||||||
| NPI: | 1659355188 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | VOSLER | ||||||||
| FirstName: | SCOTT | ||||||||
| MiddleName: | R | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 450 B WASHINGTON JACKSON RD | ||||||||
| Address2: | SUITE 104 | ||||||||
| City: | EATON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 45320 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9374568340 | ||||||||
| FaxNumber: | 9374568341 | ||||||||
| Practice Location | |||||||||
| Address1: | 450 B WASHINGTON JACKSON RD | ||||||||
| Address2: | SUITE 104 | ||||||||
| City: | EATON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 45320 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9374568340 | ||||||||
| FaxNumber: | 9374568341 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/29/2005 | ||||||||
| LastUpdateDate: | 01/17/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 34.003526 | OH | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 0517711 | 05 | OH | MEDICAID |