Provider Demographics
NPI:1831178482
Name:RAMSER, EVAN L (DO)
Entity type:Individual
Prefix:
First Name:EVAN
Middle Name:L
Last Name:RAMSER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 636256
Mailing Address - Street 2:CENTRAL CREDENTIALING
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-6256
Mailing Address - Country:US
Mailing Address - Phone:513-245-3104
Mailing Address - Fax:513-585-5511
Practice Address - Street 1:99 CAMPUS AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-6045
Practice Address - Country:US
Practice Address - Phone:207-777-4320
Practice Address - Fax:207-777-4331
Is Sole Proprietor?:No
Enumeration Date:2006-01-12
Last Update Date:2017-08-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH34 004945207RP1001X
MEDO1471207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0076497Medicaid
OHH165150Medicare PIN