Provider Demographics
NPI:1154035665
Name:DUMPERT, RHONDA SUE
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:SUE
Last Name:DUMPERT
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 1:11468 HOLIDAY WAY
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OH
Mailing Address - Zip Code:45133-9368
Mailing Address - Country:US
Mailing Address - Phone:937-205-3630
Mailing Address - Fax:
Practice Address - Street 1:11480 HOLIDAY WAY
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OH
Practice Address - Zip Code:45133-9368
Practice Address - Country:US
Practice Address - Phone:937-205-2079
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-09
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant