Provider Demographics
NPI:1588556963
Name:DOTIN, GEORGE MICHAEL JR
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:MICHAEL
Last Name:DOTIN
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:MIKE
Other - Middle Name:
Other - Last Name:DOTIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1414 LEONORA AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44305-1802
Mailing Address - Country:US
Mailing Address - Phone:330-329-2209
Mailing Address - Fax:
Practice Address - Street 1:41 30TH ST NW APT 309
Practice Address - Street 2:
Practice Address - City:BARBERTON
Practice Address - State:OH
Practice Address - Zip Code:44203-8280
Practice Address - Country:US
Practice Address - Phone:503-991-9377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-18
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant