Provider Demographics
NPI:1013549856
Name:DOHBIT, RICHARD DOHBAH
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:DOHBAH
Last Name:DOHBIT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3415 GIBRALTER HEIGHTS DR APT L4
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43609-1242
Mailing Address - Country:US
Mailing Address - Phone:419-309-6961
Mailing Address - Fax:
Practice Address - Street 1:6539 LENDERSON AVE
Practice Address - Street 2:
Practice Address - City:WHITEHOUSE
Practice Address - State:OH
Practice Address - Zip Code:43571-9639
Practice Address - Country:US
Practice Address - Phone:419-309-6961
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-10
Last Update Date:2020-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH155753164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse