Provider Demographics
NPI:1841797008
Name:ERDMAN, SCOTT HOWARD JR (EMT-B)
Entity Type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:HOWARD
Last Name:ERDMAN
Suffix:JR
Gender:M
Credentials:EMT-B
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3141 MUIRFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-3752
Mailing Address - Country:US
Mailing Address - Phone:419-494-6310
Mailing Address - Fax:
Practice Address - Street 1:3141 MUIRFIELD AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43614-3752
Practice Address - Country:US
Practice Address - Phone:419-494-6310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-12
Last Update Date:2018-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health