Provider Demographics
NPI:1114743879
Name:DOWLING, DANEEN MARIE
Entity type:Individual
Prefix:
First Name:DANEEN
Middle Name:MARIE
Last Name:DOWLING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8970 N PARK LAKE CIR
Mailing Address - Street 2:
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-9018
Mailing Address - Country:US
Mailing Address - Phone:419-699-2463
Mailing Address - Fax:
Practice Address - Street 1:8970 N PARK LAKE CIR
Practice Address - Street 2:
Practice Address - City:SYLVANIA
Practice Address - State:OH
Practice Address - Zip Code:43560-9018
Practice Address - Country:US
Practice Address - Phone:419-699-2463
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-27
Last Update Date:2024-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care