MEDICARE: DTS MOBILE MEDICAL SERVICES INC

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
1	3416L0300X	Land Ambulance		OH
2	341600000X	Ambulance		OH

General Provider Information

NPI Number	:	1891980611
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DTS MOBILE MEDICAL SERVICES INC

Provider Business Mailing Address
First Line	:	4750 HEMPSTEAD STATION DR
Second Line	:
City	:	KETTERING
State	:	OH
Zip	:	45429-5164
Country	:	US
Telephone Number	:	800-875-0136
Fax Number	:

Provider Business Practice Location Address
First Line	:	2852 SOUTH AVE
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43609-1534
Country	:	US
Telephone Number	:	419-867-2500
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. GUS SHUNNAR
Credential	:
Telephone Number	:	419-867-2500

Provider Enumeration Date	:	09/14/2007
Last Update Date	:	02/24/2009

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