Provider Demographics
NPI:1598599573
Name:VASEL, DOROTHY G
Entity type:Individual
Prefix:
First Name:DOROTHY
Middle Name:G
Last Name:VASEL
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 1:4985 VANDEMARK RD
Mailing Address - Street 2:
Mailing Address - City:LITCHFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44253-9716
Mailing Address - Country:US
Mailing Address - Phone:330-410-5709
Mailing Address - Fax:
Practice Address - Street 1:4985 VANDEMARK RD
Practice Address - Street 2:
Practice Address - City:LITCHFIELD
Practice Address - State:OH
Practice Address - Zip Code:44253-9716
Practice Address - Country:US
Practice Address - Phone:330-410-5709
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-30
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant