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NPI Code Detail

MEDICARE: ERICA O VERMILLION

MEDICARE: ERICA O VERMILLION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant
2363A00000XPhysician Assistant

General Provider Information

NPI Number : 1306210455
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICA O VERMILLION
Provider Business Mailing Address
First Line : 1900 S MAIN ST
Second Line :
City : FINDLAY
State : OH
Zip : 45840-1216
Country : US
Telephone Number : 419-423-5207
Fax Number :
Provider Business Practice Location Address
First Line : 1900 S MAIN ST
Second Line :
City : FINDLAY
State : OH
Zip : 45840-1216
Country : US
Telephone Number : 419-423-5207
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2015
Last Update Date : 11/03/2023

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Directions to “ ERICA O VERMILLION ” Practice Location

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