Provider Demographics
NPI:1063914620
Name:DINKINS, STEPHEN L
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:L
Last Name:DINKINS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 CLEARBROOK DR
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44313-5704
Mailing Address - Country:US
Mailing Address - Phone:330-867-2820
Mailing Address - Fax:330-864-2810
Practice Address - Street 1:500 CLEARBROOK DR
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44313-5704
Practice Address - Country:US
Practice Address - Phone:330-867-2820
Practice Address - Fax:330-864-2810
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No374U00000XNursing Service Related ProvidersHome Health Aide