Vincent E Easterly
Individual provider Active NPI Contractor · Rossford, OH
NPI 1700540226 · NPPES record last updated Oct 30, 2021
Key facts
- NPI
- 1700540226
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 690 Dixie Hwy
Rossford, OH 43460-1221 - Phone
- (419) 392-6789
- NPI assigned
- Oct 30, 2021
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | OH | Yes |
Addresses
Primary practice location
690 Dixie Hwy
Rossford, OH 43460-1221
Mailing address
445 E Dublin Granville Rd
Worthington, OH 43085-3192
Phone (614) 844-3800
Other providers in Rossford, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.