Provider Demographics
NPI:1083400857
Name:RINGEISEN, DILLON MICHAEL
Entity type:Individual
Prefix:
First Name:DILLON
Middle Name:MICHAEL
Last Name:RINGEISEN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:861 1/2 CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:MARBLEHEAD
Mailing Address - State:OH
Mailing Address - Zip Code:43440-9761
Mailing Address - Country:US
Mailing Address - Phone:419-571-8928
Mailing Address - Fax:
Practice Address - Street 1:861 1/2 CHURCH RD
Practice Address - Street 2:
Practice Address - City:MARBLEHEAD
Practice Address - State:OH
Practice Address - Zip Code:43440-9761
Practice Address - Country:US
Practice Address - Phone:419-571-8928
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-17
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide