Provider Demographics
NPI:1730073560
Name:DARE, VERONICA
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:DARE
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 1:7188 EMERALD TREE DR
Mailing Address - Street 2:
Mailing Address - City:CANAL WINCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:43110-8221
Mailing Address - Country:US
Mailing Address - Phone:380-264-1067
Mailing Address - Fax:
Practice Address - Street 1:7188 EMERALD TREE DR
Practice Address - Street 2:
Practice Address - City:CANAL WINCHESTER
Practice Address - State:OH
Practice Address - Zip Code:43110-8221
Practice Address - Country:US
Practice Address - Phone:380-264-1067
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-05
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service