Healthcare Provider Details
I. General information
NPI: 1245278902
Provider Name (Legal Business Name): THE DOCTORS OFFICE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/03/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1950 MOUNT SAINT MARYS DR
NELSONVILLE OH
45764-1280
US
IV. Provider business mailing address
PO BOX 71
NELSONVILLE OH
45764-0071
US
V. Phone/Fax
- Phone: 740-753-3345
- Fax: 740-753-4890
- Phone: 740-753-3345
- Fax: 740-753-4890
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NEAL
W
ALLISON
Title or Position: C.F.O.
Credential:
Phone: 740-753-1931