Provider Demographics
NPI:1871779843
Name:SCOTT R. VOSLER, D.O.
Entity type:Organization
Organization Name:SCOTT R. VOSLER, D.O.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:R
Authorized Official - Last Name:VOSLER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:937-456-8340
Mailing Address - Street 1:450B WASHINGTON JACKSON RD
Mailing Address - Street 2:SUTIE 104
Mailing Address - City:EATON
Mailing Address - State:OH
Mailing Address - Zip Code:45320-7600
Mailing Address - Country:US
Mailing Address - Phone:937-456-8340
Mailing Address - Fax:937-456-8341
Practice Address - Street 1:450B WASHINGTON JACKSON RD
Practice Address - Street 2:SUTIE 104
Practice Address - City:EATON
Practice Address - State:OH
Practice Address - Zip Code:45320-7600
Practice Address - Country:US
Practice Address - Phone:937-456-8340
Practice Address - Fax:937-456-8341
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-21
Last Update Date:2008-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3526207Q00000X
OH1071818363A00000X
OH1043717363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0517711Medicaid
OH0517711Medicaid
OHD89771Medicare UPIN