=====================================================
General NPI Number Information
=====================================================
NPI Number | 1942403498
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | EMS PROFESSIONALS INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/11/2007
-----------------------------------------------------
Last Update Date | 10/28/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2132 SCHAPPELLE LN
-----------------------------------------------------
City | CINCINNATI
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45240-4602
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 513-542-3411
-----------------------------------------------------
Fax | 815-301-8823
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2132 SCHAPPELLE LN
-----------------------------------------------------
City | CINCINNATI
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45240-4602
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 513-542-3411
-----------------------------------------------------
Fax | 815-301-8823
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | TREASURER
-----------------------------------------------------
Name | ZAVALUS J. THOMAS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 513-608-4891
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 341600000X
-----------------------------------------------------
Taxonomy Name | Ambulance
-----------------------------------------------------
License Number | PENDING
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------