Healthcare Provider Details

I. General information

NPI: 1801753744
Provider Name (Legal Business Name): ERIN DODDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2026
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

810 S CABLE RD
LIMA OH
45805-3468
US

IV. Provider business mailing address

140 E TOWN ST STE 1450
COLUMBUS OH
43215-6601
US

V. Phone/Fax

Practice location:
  • Phone: 567-387-0130
  • Fax:
Mailing address:
  • Phone: 614-639-6590
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License NumberAPS.005245
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: